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논문 기본 정보

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학술저널
저자정보
Nakai Yousuke (Department of Gastroenterology Graduate School of Medicine The University of Tokyo Tokyo JapanDepar) Hamada Tsuyoshi (Department of Gastroenterology Graduate School of Medicine The University of Tokyo Tokyo Japan) Hakuta Ryunosuke (Department of Gastroenterology Graduate School of Medicine The University of Tokyo Tokyo JapanDepar) Sato Tatsuya (Department of Gastroenterology Graduate School of Medicine The University of Tokyo Tokyo Japan) Ishigaki Kazunaga (Department of Gastroenterology Graduate School of Medicine The University of Tokyo Tokyo Japan) Saito Kei (Department of Gastroenterology Graduate School of Medicine The University of Tokyo Tokyo Japan) Saito Tomotaka (Department of Gastroenterology Graduate School of Medicine The University of Tokyo Tokyo Japan) Takahara Naminatsu (Department of Gastroenterology Graduate School of Medicine The University of Tokyo Tokyo Japan) Mizuno Suguru (Department of Gastroenterology Graduate School of Medicine The University of Tokyo Tokyo Japan) Kogure Hirofumi (Department of Gastroenterology Graduate School of Medicine The University of Tokyo Tokyo Japan) Koike Kazuhiko (Department of Gastroenterology Graduate School of Medicine The University of Tokyo Tokyo Japan)
저널정보
거트앤리버 발행위원회 Gut and Liver Gut and Liver 제15권 제4호
발행연도
2021.1
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625 - 633 (9page)

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Background/Aims: Endoscopic ultrasound (EUS)-guided tissue acquisition is widely utilized as a diagnostic modality for intra-abdominal masses, but there remains debate regarding which suction technique, slow pull (SP) or conventional suction (CS), is better. A meta-analysis of reported studies was conducted to compare the diagnostic yields of SP and CS during EUS-guided tissue acquisition. Methods: We conducted a systematic electronic search using MEDLINE/PubMed, Web of Science, and the Cochrane Central Register of Controlled Trials to identify clinical studies comparing SP and CS. We meta-analyzed accuracy, sensitivity, blood contamination and cellularity using the random-effects model. Results: A total of 17 studies (seven randomized controlled trials, four prospective studies, and six retrospective studies) with 1,616 cases were included in the analysis. Compared to CS, there was a trend toward better accuracy (odds ratio [OR], 1.48; 95% confidence interval [CI], 0.97 to 2.27; p=0.07) and sensitivity (OR, 1.67; 95% CI, 0.95 to 2.93; p=0.08) with SP and a significantly lower rate of blood contamination (OR, 0.48; 95% CI, 0.33 to 0.69; p<0.01). However, there was no significant difference in cellularity between SP and CS, with an OR of 1.28 (95% CI, 0.68 to 2.40; p=0.45). When the use of a 25-gauge needle was analyzed, the accuracy and sensitivity of SP were significantly better than those of CS, with ORs of 4.81 (95% CI, 1.99 to 11.62; p<0.01) and 4.69 (95% CI, 1.93 to 11.40; p<0.01), respectively. Conclusions: Compared to CS, SP appears to provide better accuracy and sensitivity in EUSguided tissue acquisition, especially when a 25-gauge needle is used.
#Endoscopic ultrasonography #Fine needle aspiration #Slow pull #Suction.

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참고문헌 (40)

참고문헌 신청
Vilmann P / 1992 / Endoscopic ultrasonography with guided fine needle aspiration biopsy in pancreatic disease / Gastrointest Endosc 38:172~173 google schola Chang KJ / 1994 / Endoscopic ultrasound-guided fine needle aspiration of pancreatic carcinoma / Am J Gastroenterol 89:263~266 google schola Hewitt MJ / 2012 / EUS-guided FNA for diagnosis of solid pancreatic neoplasms : a meta-analysis / Gastrointest Endosc 75:319~331 google schola Varadarajulu S / 2012 / Best practices in endoscopic ultrasound-guided fine-needle aspiration / Clin Gastroenterol Hepatol 10:697~703 google schola Bang JY / 2019 / In memoriam : fine-needle aspiration, birth. Fine-needle biopsy : the changing trend in endoscopic ultrasound-guided tissue acquisition / Dig Endosc 31:197~202 google schola

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