دورية أكاديمية
Endoscopic Ultrasound-Guided Tissue Acquisition Using Fork-Tip Needle for Subepithelial Lesions: A Single-Center Validation Study.
| العنوان: | Endoscopic Ultrasound-Guided Tissue Acquisition Using Fork-Tip Needle for Subepithelial Lesions: A Single-Center Validation Study. |
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| المؤلفون: | Watanabe M; Department of Gastroenterology, Kitasato University School of Medicine, 1-15-1 Kitasato, Minami, Minami, Sagamihara, Kanagawa, 252-0374, Japan., Okuwaki K; Department of Gastroenterology, Kitasato University School of Medicine, 1-15-1 Kitasato, Minami, Minami, Sagamihara, Kanagawa, 252-0374, Japan. kokuwaki@kitasato-u.ac.jp., Iwai T; Department of Gastroenterology, Kitasato University School of Medicine, 1-15-1 Kitasato, Minami, Minami, Sagamihara, Kanagawa, 252-0374, Japan., Kida M; Department of Gastroenterology, Kitasato University School of Medicine, 1-15-1 Kitasato, Minami, Minami, Sagamihara, Kanagawa, 252-0374, Japan., Imaizumi H; Department of Gastroenterology, Kitasato University School of Medicine, 1-15-1 Kitasato, Minami, Minami, Sagamihara, Kanagawa, 252-0374, Japan., Adachi K; Department of Gastroenterology, Kitasato University School of Medicine, 1-15-1 Kitasato, Minami, Minami, Sagamihara, Kanagawa, 252-0374, Japan., Tamaki A; Department of Gastroenterology, Kitasato University School of Medicine, 1-15-1 Kitasato, Minami, Minami, Sagamihara, Kanagawa, 252-0374, Japan., Ishizaki J; Department of Gastroenterology, Kitasato University School of Medicine, 1-15-1 Kitasato, Minami, Minami, Sagamihara, Kanagawa, 252-0374, Japan., Hanaoka T; Department of Gastroenterology, Kitasato University School of Medicine, 1-15-1 Kitasato, Minami, Minami, Sagamihara, Kanagawa, 252-0374, Japan., Kusano C; Department of Gastroenterology, Kitasato University School of Medicine, 1-15-1 Kitasato, Minami, Minami, Sagamihara, Kanagawa, 252-0374, Japan. |
| المصدر: | Digestive diseases and sciences [Dig Dis Sci] 2024 Jul; Vol. 69 (7), pp. 2567-2572. Date of Electronic Publication: 2024 May 15. |
| نوع المنشور: | Journal Article; Validation Study |
| اللغة: | English |
| بيانات الدورية: | Publisher: Springer Science + Business Media Country of Publication: United States NLM ID: 7902782 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1573-2568 (Electronic) Linking ISSN: 01632116 NLM ISO Abbreviation: Dig Dis Sci Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2005- : New York, NY : Springer Science + Business Media Original Publication: New York, Plenum Pub. Corp. |
| مواضيع طبية MeSH: | Gastrointestinal Stromal Tumors*/pathology , Gastrointestinal Stromal Tumors*/diagnostic imaging , Gastrointestinal Stromal Tumors*/diagnosis , Endoscopic Ultrasound-Guided Fine Needle Aspiration*/instrumentation , Endoscopic Ultrasound-Guided Fine Needle Aspiration*/methods , Needles* , Gastrointestinal Neoplasms*/pathology , Gastrointestinal Neoplasms*/diagnosis , Gastrointestinal Neoplasms*/diagnostic imaging, Humans ; Female ; Male ; Middle Aged ; Aged ; Adult ; Prospective Studies ; Leiomyoma/pathology ; Leiomyoma/diagnostic imaging ; Aged, 80 and over |
| مستخلص: | Background: The cutoff value for stereomicroscopic on-site evaluation (SOSE) in endoscopic ultrasound-guided tissue acquisition (EUS-TA) has high diagnostic sensitivity when a Franseen needle is employed for upper gastrointestinal subepithelial lesions (SELs) (stereomicroscopically visible white core [SVWC] ≥ 4 mm). Aim: We aimed to determine whether high diagnostic sensitivity could be obtained when EUS-TA was performed using a Fork-tip needle. Methods: Twenty-one patients were prospectively registered. Patients underwent EUS-TA using a Fork-tip needle for upper gastrointestinal SELs at Kitasato University Hospital between January and November 2022. Punctures were made twice using the needle, and SOSE was conducted for each specimen. Blood and physical examination were performed to assess adverse events. Pathological diagnosis was made using hematoxylin and eosin-stained sections and immunohistochemical staining. Statistical comparisons were completed using Fisher's exact tests. Results: The diagnostic rate of EUS-TA was 100% (21/21 cases). The final diagnosis was gastrointestinal stromal tumor in 17 (81.0%) and leiomyoma in 4 (19.0%) patients. SOSE was conducted on all 42 punctures, and the tissue sampling rate was 100% (42/42 punctures). Specimens with SVWC ≥ 4 mm were collected in 97.6% punctures (41/42 punctures) and the diagnostic sensitivity for these specimens was 100% (41/41 punctures), which is significantly higher (p < 0.0238) compared to the absence of cutoff value (diagnostic sensitivity of 0%). No EUS-TA-related adverse events occurred. Conclusions: EUS-TA combined with SOSE for upper gastrointestinal SEL using a fork-tip needle had a high diagnostic rate, and the cutoff value of SVWC ≥ 4 mm had high diagnostic sensitivity. (© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.) |
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| فهرسة مساهمة: | Keywords: Biopsy; Endoscopic ultrasound-guided fine needle aspiration; Fine-needle; Fork-tip needle; Stereomicroscopic On-site evaluation; Upper gastrointestinal tract |
| تواريخ الأحداث: | Date Created: 20240515 Date Completed: 20240718 Latest Revision: 20240718 |
| رمز التحديث: | 20240719 |
| DOI: | 10.1007/s10620-024-08424-7 |
| PMID: | 38750279 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1573-2568 |
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| DOI: | 10.1007/s10620-024-08424-7 |