دورية أكاديمية
Comparison of EUS-FNA and EUS-FNB for diagnosis of solid pancreatic mass lesions: a meta-analysis of prospective studies.
| العنوان: | Comparison of EUS-FNA and EUS-FNB for diagnosis of solid pancreatic mass lesions: a meta-analysis of prospective studies. |
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| المؤلفون: | Yao DW; Department of Gastroenterology, The First Affiliated Hospital of Guangxi Medical University, Nanning, China.; Department of Gastroenterology, The Southwest Affiliated Hospital of Youjiang Medical University for Nationalities, Baise City, Guangxi Zhuang Autonomous Region, China., Qin MZ; Department of Gastroenterology, The Southwest Affiliated Hospital of Youjiang Medical University for Nationalities, Baise City, Guangxi Zhuang Autonomous Region, China., Jiang HX; Department of Gastroenterology, The First Affiliated Hospital of Guangxi Medical University, Nanning, China., Qin SY; Department of Gastroenterology, The First Affiliated Hospital of Guangxi Medical University, Nanning, China. |
| المصدر: | Scandinavian journal of gastroenterology [Scand J Gastroenterol] 2024 Aug; Vol. 59 (8), pp. 972-979. Date of Electronic Publication: 2024 May 20. |
| نوع المنشور: | Journal Article; Meta-Analysis; Comparative Study; Systematic Review |
| 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* , Pancreatic Neoplasms*/pathology , Pancreatic Neoplasms*/diagnostic imaging , Pancreatic Neoplasms*/diagnosis , Pancreas*/pathology , Pancreas*/diagnostic imaging, Humans ; Prospective Studies ; Endosonography/methods |
| مستخلص: | Objective: To quantitatively compare the diagnostic value of endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) and endoscopic ultrasound-guided fine needle biopsy (EUS-FNB) in solid pancreatic mass lesions using a systematic evaluation method. Methods: A systematic literature search was conducted on public databases to include studies comparing the diagnostic value of EUS-FNA and EUS-FNB in solid pancreatic mass lesions. The combined effect size was estimated using mean difference (MD) and risk difference (RD) respectively, and the corresponding 95% confidence interval (CI) was calculated. Results: The 12 articles (7 RCTs and 5 cohort studies) met the inclusion criteria of this study. The meta-analysis showed that compared with EUS-FNB, EUS-FNA had lower diagnostic accuracy (RD: -0.08, 95% CI: -0.15, -0.01) and specimen adequacy (RD: -0.08, 95% CI: -0.15, -0.02), while higher required number of needle passes (MD: 0.42, 95% CI: 0.12, 0.73). However, EUS-FNB and EUS-FNA presented similar overall complications (RD: 0.00, 95% CI: -0.01, 0.02) and technical failures (RD: -0.01, 95% CI: -0.02, 0.00), without statistically significant differences. Conclusions: Compared with EUS-FNA, EUS-FNB seems to be a better choice for diagnosing suspected pancreatic lesions. |
| فهرسة مساهمة: | Keywords: EUS; FNA; FNB; meta-analysis; pancreatic |
| تواريخ الأحداث: | Date Created: 20240521 Date Completed: 20240729 Latest Revision: 20240729 |
| رمز التحديث: | 20240729 |
| DOI: | 10.1080/00365521.2024.2354908 |
| PMID: | 38769625 |
| قاعدة البيانات: | MEDLINE |
PDF full text from Publisher | تدمد: | 1502-7708 |
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| DOI: | 10.1080/00365521.2024.2354908 |