دورية أكاديمية
Diagnostic yield of endoscopic and EUS-guided biopsy techniques in subepithelial lesions of the upper GI tract: a systematic review.
| العنوان: | Diagnostic yield of endoscopic and EUS-guided biopsy techniques in subepithelial lesions of the upper GI tract: a systematic review. |
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| المؤلفون: | Verloop CA; Department of Gastroenterology, Maasstad Hospital, Rotterdam, the Netherlands. Electronic address: verloopc@maasstadziekenhuis.nl., Goos JAC; Department of Internal Medicine, Erasmus University Medical Centre, Rotterdam the Netherlands., Bruno MJ; Department of Gastroenterology, Erasmus University Medical Centre, Rotterdam the Netherlands., Quispel R; Department of Gastroenterology, Reinier de Graaf hospital, Delft, the Netherlands., van Driel LMJW; Department of Gastroenterology, Erasmus University Medical Centre, Rotterdam the Netherlands., Hol L; Department of Gastroenterology, Maasstad Hospital, Rotterdam, the Netherlands. |
| المصدر: | Gastrointestinal endoscopy [Gastrointest Endosc] 2024 Jun; Vol. 99 (6), pp. 895-911.e13. Date of Electronic Publication: 2024 Feb 13. |
| نوع المنشور: | Systematic Review; Journal Article; Review |
| اللغة: | English |
| بيانات الدورية: | Publisher: Mosby Yearbook Country of Publication: United States NLM ID: 0010505 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1097-6779 (Electronic) Linking ISSN: 00165107 NLM ISO Abbreviation: Gastrointest Endosc Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: St Louis, Mo : Mosby Yearbook Original Publication: Denver. |
| مواضيع طبية MeSH: | Endoscopic Ultrasound-Guided Fine Needle Aspiration*/methods , Endoscopic Ultrasound-Guided Fine Needle Aspiration*/adverse effects, Humans ; Endosonography/methods ; Endoscopy, Gastrointestinal/methods ; Gastrointestinal Neoplasms/pathology ; Gastrointestinal Neoplasms/diagnosis ; Stomach Neoplasms/pathology ; Stomach Neoplasms/diagnosis ; Upper Gastrointestinal Tract/pathology ; Image-Guided Biopsy/methods ; Image-Guided Biopsy/adverse effects ; Esophageal Neoplasms/pathology ; Esophageal Neoplasms/diagnosis |
| مستخلص: | Background and Aims: Obtaining adequate tissue samples in subepithelial lesions (SELs) remains challenging. Several biopsy techniques are available, but a systematic review including all available techniques to obtain a histologic diagnosis of SEL is lacking. The aim of this study was to evaluate the diagnostic yield and adverse event rates of endoscopic biopsies, EUS-guided FNA (EUS-FNA), EUS-guided fine-needle biopsy (FNB) (EUS-FNB), and mucosal incision-assisted biopsy (MIAB) for SELs in the upper GI tract. Methods: A search strategy in multiple databases was performed. The primary outcome was diagnostic yield, defined as the percentage of procedures in which histology was obtained and resulted in a definitive histopathologic diagnosis. Secondary outcome measures included reported procedure-related adverse events, which were graded according to the AGREE (Adverse Events in Gastrointestinal Endoscopy) classification. Results: A total of 94 original articles were included. Studies were classified per endoscopic technique to obtain histopathology. This resulted in 8 included studies for endoscopic biopsy methods, 55 studies for EUS-FNA, 33 studies for EUS-FNB, and 26 studies for MIAB. Pooled rates for diagnostic yield were 40.6% (95% confidence interval [CI], 30.8-51.2) for endoscopic biopsy, 74.6% (95% CI, 69.9-78.7) for EUS-FNA, 84.2% (95% CI, 80.7-87.2) for EUS-FNB, and 88.2% (95% CI, 84.7-91.1) for MIAB. Reported procedure-related adverse events graded AGREE II or higher were 2.8% to 3.9% for endoscopic biopsies, 1.0% to 4.5% for EUS-FNA, .9% to 7.7% for EUS-FNB, and 1.9% to 7.9% for MIAB. Conclusions: Based on the available evidence, MIAB and EUS-FNB seem to be most effective in terms of achieving a high diagnostic yield, with similar rates of adverse events. Competing Interests: Disclosure M. Bruno: Consultant for and support for industry and investigator-initiated studies from Boston Scientific, Cook Medical, and Pentax Medical; support for investigator-initiated studies from Mylan, AMBU, and ChiRoStim. All other authors disclosed no financial relationships. (Copyright © 2024 American Society for Gastrointestinal Endoscopy. Published by Elsevier Inc. All rights reserved.) |
| تواريخ الأحداث: | Date Created: 20240215 Date Completed: 20240518 Latest Revision: 20240528 |
| رمز التحديث: | 20240528 |
| DOI: | 10.1016/j.gie.2024.02.003 |
| PMID: | 38360118 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1097-6779 |
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| DOI: | 10.1016/j.gie.2024.02.003 |