دورية أكاديمية
The advent of the first electric driven EUS-guided 17 gauge core needle biopsy - A pilot study on subepithelial lesions.
| العنوان: | The advent of the first electric driven EUS-guided 17 gauge core needle biopsy - A pilot study on subepithelial lesions. |
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| المؤلفون: | Swahn F; Department of Medicine Huddinge, Karolinska Institute, Stockholm, Sweden.; Department of Upper Abdominal Diseases, Karolinska University Hospital, Stockholm, Sweden., Glavas R; Department of Surgery, Endoscopy Unit, Linköping University Hospital, Linköping, Sweden., Hultin L; Department of Pathology and Cytology, Linköping University Hospital, Linköping, Sweden., Wickbom M; Department of Surgery, Örebro University Hospital, Örebro, Sweden. |
| المصدر: | Scandinavian journal of gastroenterology [Scand J Gastroenterol] 2024 Jul; Vol. 59 (7), pp. 852-858. Date of Electronic Publication: 2024 Apr 15. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Informa Healthcare Country of Publication: England NLM ID: 0060105 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1502-7708 (Electronic) Linking ISSN: 00365521 NLM ISO Abbreviation: Scand J Gastroenterol Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: London : Informa Healthcare Original Publication: Oslo : Universitetsforlager |
| مواضيع طبية MeSH: | Endoscopic Ultrasound-Guided Fine Needle Aspiration*/methods , Endoscopic Ultrasound-Guided Fine Needle Aspiration*/instrumentation , Endoscopic Ultrasound-Guided Fine Needle Aspiration*/adverse effects, Humans ; Pilot Projects ; Female ; Middle Aged ; Aged ; Adult ; Prospective Studies ; Male ; Leiomyoma/pathology ; Leiomyoma/diagnostic imaging ; Adenocarcinoma/pathology ; Adenocarcinoma/diagnostic imaging ; Biopsy, Large-Core Needle/methods ; Biopsy, Large-Core Needle/adverse effects ; Neurilemmoma/pathology ; Neurilemmoma/diagnostic imaging ; Duodenum/pathology ; Endosonography/methods ; Stomach/pathology |
| مستخلص: | Background and Aims: This pilot study aimed to evaluate safety and tissue sampling from subepithelial lesions (SEL) in the upper gastrointestinal tract with a novel electric motor driven endoscopic ultrasonography (EUS)-guided 17-gauge (G) size core needle biopsy (CNB) instrument. Methods: An investigator-led prospective open label, performance and safety control study, including seven patients (female n = 4, median 71 y, range 28-75) with a determined SEL (median size 30 mm, range 17-150 mm) in the upper digestive tract (stomach n = 6, duodenum n = 1) were eligible and later followed up 14 days after index procedure. All investigations were completed according to protocol with three FNB 22-G passes with four fanning strokes and two EndoDrill ® 17-G passes with three fanning strokes. Results: Quality of samples as 'visible pieces' (>5 mm): FNB ( n = 5/7) (fragmented/blood imbibed n = 1, poor tissue quantity n = 1) compared with 17-G CNB ( n = 7/7). Histological result which led to final diagnosis (leiomyoma n = 2, adenocarcinoma n = 1, schwannoma n = 1, neuroendocrine tumour n = 1, desmoid tumour n = 1 and gastrointestinal stromal tumour (GIST) n = 1) could be obtained with the 17-G CNB instrument in all seven patients. FNB technique reached correct diagnosis in six patients. No serious adverse event were recorded. Conclusions: By using an electric driven 17-G biopsy device, a true cylinder of core tissue can be obtained in one single puncture from the area of interest reducing the need for a second sampling. The absolute benefit of EUS-guided CNB is that the sample can be handled and histologically prepared in the same manner as standard percutaneous core needle sample, e.g., breast and prostate cancer. |
| فهرسة مساهمة: | Keywords: Core Needle Biopsy (CNB); Endodrill, Endoscopy; Fine Needle Aspiration (FNA); Fine Needle Biopsy (FNB); endoscopic ultrasonography (EUS); subepithelial lesion; subepithelial mass; submucosal mass; submucosal tumour |
| تواريخ الأحداث: | Date Created: 20240415 Date Completed: 20240630 Latest Revision: 20240630 |
| رمز التحديث: | 20240701 |
| DOI: | 10.1080/00365521.2024.2336611 |
| PMID: | 38618997 |
| قاعدة البيانات: | MEDLINE |
PDF full text from Publisher | تدمد: | 1502-7708 |
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| DOI: | 10.1080/00365521.2024.2336611 |