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논문 기본 정보

자료유형
학술저널
저자정보
Joon Seop Lee (Departments of Internal Medicine Kyungpook National University School of Medicine Daegu Korea) Chang Min Cho (Departments of Internal Medicine Kyungpook National University School of Medicine Daegu Korea) Yong Hwan Kwon (Departments of Internal Medicine Kyungpook National University School of Medicine Daegu Korea) An Na Seo (Departments of Pathology Kyungpook National University School of Medicine Daegu Korea) Han Ik Bae (Departments of Pathology Kyungpook National University School of Medicine Daegu Korea) Man-Hoon Han (Departments of Pathology Kyungpook National University School of Medicine Daegu Korea)
저널정보
대한소화기내시경학회 Clinical Endoscopy Clinical Endoscopy 제55권 제5호
발행연도
2022.9
수록면
637 - 644 (8page)
DOI
10.5946/ce.2021.257

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Background/Aims: Endoscopic ultrasound-guided fine-needle biopsy (EUS-FNB) is integral to the diagnosis of gastrointestinal (GI) subepithelial tumors (SETs). The impact of different EUS-FNB tissue sampling techniques on specimen adequacy and diagnostic accu- racy in SETs has not been fully evaluated. This study aimed to compare the diagnostic outcomes of slow-pull (SP) and standard suction (SS) in patients with GI SETs. Methods: In this retrospective comparative study, 54 patients were enrolled. Medical records were reviewed for location and size of the target lesion, FNB needle type/size, technical order, specimen adequacy, diagnostic yield, and adverse events. The acquisition rate of adequate specimens and diagnostic accuracy were compared according to EUS-FNB techniques. Results: The mean lesion size was 42.6±36.4 mm, and most patients were diagnosed with GI stromal tumor (75.9%). The overall diag- nostic accuracies of the SP and SS techniques were 83.3% and 81.5%, respectively (p=0.800). The rates of obtaining adequate core tissue were 79.6% and 75.9%, respectively (p=0.799). No significant clinical factors affected the rate of obtaining adequate core tissue, includ- ing lesion location and size, FNB needle size, and final diagnosis. Conclusions: SP and SS had comparable diagnostic accuracies and adequate core tissue acquisition for GI SETs via EUS-FNB.

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