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논문 기본 정보

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학술저널
저자정보
Ishigaki Kazunaga (Department of Gastroenterology Graduate School of Medicine The University of Tokyo Japan) Nakai Yousuke (Department of Gastroenterology Graduate School of Medicine The University of Tokyo JapanDepartment) Oyama Hiroki (Department of Gastroenterology Graduate School of Medicine The University of Tokyo Japan) Kanai Sachiko (Department of Gastroenterology Graduate School of Medicine The University of Tokyo Japan) Suzuki Tatsunori (Department of Gastroenterology Graduate School of Medicine The University of Tokyo Japan) Nakamura Tomoka (Department of Gastroenterology Graduate School of Medicine The University of Tokyo Japan) Sato Tatsuya (Department of Gastroenterology Graduate School of Medicine The University of Tokyo Japan) Hakuta Ryunosuke (Department of Gastroenterology Graduate School of Medicine The University of Tokyo Japan) Saito Kei (Department of Gastroenterology Graduate School of Medicine The University of Tokyo Japan) Saito Tomotaka (Department of Gastroenterology Graduate School of Medicine The University of Tokyo Japan) Takahara Naminatsu (Department of Gastroenterology Graduate School of Medicine The University of Tokyo Japan) Hamada Tsuyoshi (Department of Gastroenterology Graduate School of Medicine The University of Tokyo Japan) Mizuno Suguru (Department of Gastroenterology Graduate School of Medicine The University of Tokyo Japan) Kogure Hirofumi (Department of Gastroenterology Graduate School of Medicine The University of Tokyo Japan) Tada Minoru (Department of Gastroenterology Graduate School of Medicine The University of Tokyo Japan) Isayama Hiroyuki (Department of Gastroenterology Graduate School of Medicine Juntendo University Tokyo Japan) Koike Kazuhiko (Department of Gastroenterology Graduate School of Medicine The University of Tokyo Japan)
저널정보
거트앤리버 발행위원회 Gut and Liver Gut and Liver 제14권 제6호
발행연도
2020.1
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817 - 825 (9page)

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Background/Aims: Recently, a three-plane symmetric needle with Franseen geometry was developed for endoscopic ultrasound-guided fine needle biopsy (EUS-FNB). In this retrospective study, tissue acquisition per pass was compared between 22-gauge Franseen FNB and standard fine needle aspiration (FNA) needles in patients with solid pancreatic lesions. Methods: Consecutive patients who underwent EUSFNA or EUS-FNB for solid pancreatic lesions between October 2014 and March 2018 were retrospectively studied. The tissue acquisition rate and the diagnostic performance per session, per pass, and at first pass were compared. Results: A total of 663 passes (300 by the FNB needle and 363 by the standard FNA needle) were performed in 154 patients (71 FNB and 83 FNA). The tissue acquisition rate per session and at first pass in the FNB and FNA groups was 100% and 95% (p=0.13) and 87% and 69% (p=0.007), respectively. The multivariate analysis revealed that among the patients, EUS-FNB (odds ratio, 3.07; p=0.01) was associated with a higher first-pass tissue acquisition rate. While the tissue acquisition rate reached a plateau after the 4th pass with FNA, it reached a plateau after the 2nd pass with FNB. Among the 129 malignant cases, the histological tissue acquisition rate per session was similar (100% and 94%), but the sensitivity by histology alone per session was higher for FNB than for FNA (93% and 73%, p<0.01). Conclusions: The results of our retrospective analysis indicated that compared with a standard FNA needle, a 22-gauge Franseen FNB needle was associated with a higher first-pass tissue acquisition rate.
#Endoscopic ultrasound #Endoscopic ultrasoundguided fine needle aspiration #Endoscopic ultrasonographyguided fine-needle biopsy #Histology #Pancreatic neoplasms

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참고문헌 (10)

참고문헌 신청
Hewitt MJ / 2012 / EUS-guided FNA for diagnosis of solid pancreatic neoplasms : a meta-analysis / Gastrointest Endosc 75:319~331 google schola Puli SR / 2013 / How good is endoscopic ultrasound-guided fine-needle aspiration in diagnosing the correct etiology for a solid pancreatic mass? A metaanalysis and systematic review / Pancreas 42:20~26 google schola Eltoum IA / 2012 / Trends in pancreatic pathology practice before and after implementation of endoscopic ultrasound-guided fine-needle aspiration : an example of disruptive innovation effect / Arch Pathol Lab Med 136:447~453 google schola Iglesias-Garcia J / 2011 / Feasibility and yield of a new EUS histology needle : results from a multicenter, pooled, cohort study / Gastrointest Endosc 73:1189~1196 google schola Iwashita T / 2013 / High single-pass diagnostic yield of a new 25-gauge core biopsy needle for EUSguided FNA biopsy in solid pancreatic lesions / Gastrointest Endosc 77:909~915 google schola

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