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Use of suction during endoscopic ultrasound-guided fine needle biopsy of solid pancreatic lesions with a Franseen-tip needle: a pilot comparative trial
- Source :
- Endoscopy International Open, Vol 09, Iss 03, Pp E401-E408 (2021)
- Publication Year :
- 2021
- Publisher :
- Georg Thieme Verlag KG, 2021.
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Abstract
- Background and study aims The utility of suction during endoscopic ultrasound (EUS) fine-needle biopsy (FNB) using Franseen-tip needle remains unclear and has not been evaluated in randomized trials. We designed a randomized crossover trial to compare the diagnostic yield during EUS-FNB using a 22G Franseen-tip needle, with and without standard suction. Patients and methods Consecutive patients undergoing EUS-guided sampling of solid pancreatic lesions were recruited. A minimum of two passes were performed for each case: one with 20-mL syringe suction (S+) and another without (S–). The order of passes was randomized and the pathologist blinded. The endpoints were the diagnostic yield and the impact of blood contamination in the diagnosis. Results Fifty consecutive patients were enrolled. The overall diagnostic accuracy was 84 %. A diagnosis of malignancy was obtained in 70 samples: 36 in the S+group and 34 in the S–group. A statistically significant difference was seen in the diagnostic accuracy (S+: 78 % vs. S–: 72 %, P
- Subjects :
- Diseases of the digestive system. Gastroenterology
RC799-869
Subjects
Details
- Language :
- English
- ISSN :
- 23643722 and 21969736
- Volume :
- 09
- Issue :
- 03
- Database :
- Directory of Open Access Journals
- Journal :
- Endoscopy International Open
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.4c5a53833acd4a46b55d6fe6bf47bdb6
- Document Type :
- article
- Full Text :
- https://doi.org/10.1055/a-1336-3170