Cited 2 times in
Factors Influencing the Diagnostic Performance of Repeat Endoscopic Ultrasound-Guided Fine-Needle Aspiration/Biopsy after the First Inconclusive Diagnosis of Pancreatic Solid Lesions
DC Field | Value | Language |
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dc.contributor.author | 방승민 | - |
dc.contributor.author | 이희승 | - |
dc.contributor.author | 장성일 | - |
dc.contributor.author | 조재희 | - |
dc.date.accessioned | 2024-01-16T01:48:37Z | - |
dc.date.available | 2024-01-16T01:48:37Z | - |
dc.date.issued | 2024-01 | - |
dc.identifier.issn | 1976-2283 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/197751 | - |
dc.description.abstract | Background/Aims: Endoscopic ultrasound-guided fine-needle aspiration/biopsy (EUS-FNA/B) is essential in diagnosing solid pancreatic lesions (SPLs), but without rapid on-site evaluation (ROSE), a repeat EUS-FNA/B is crucial for clarifying an inconclusive diagnosis. We aimed to evaluate factors associated with improved diagnostic performance of repeat EUS-FNA/B for initially inconclusive SPL diagnoses without ROSE. Methods: Of 5,894 patients subjected to EUS-FNA/B, 237 (4.0%) with an initially inconclusive diagnosis of SPLs were retrospectively enrolled from five tertiary medical centers between January 2016 and June 2021. Diagnostic performance and procedural factors of EUS-FNA/B were analyzed. Results: The diagnostic accuracies of first and repeat EUS-FNA/B were 96.2% and 67.6%, respectively. Of 237 patients with an inconclusive diagnosis from initial EUS-FNA/B, 150 were pathologically diagnosed after repeat EUS-FNA/B. In multivariate analysis of repeat EUS-FNA/B, tumor location (body/tail vs head: odds ratio [OR], 3.74; 95% confidence interval [CI], 1.48 to 9.46), number of needle passes (≥4 vs ≤3: OR, 4.80; 95% CI, 1.44 to 15.99), needle type (FNB vs FNA: OR, 3.26; 95% CI, 1.44 to 7.36), needle size (22 gauge vs 19/20 gauge: OR, 2.35; 95% CI, 1.19 to 4.62), and suction method (suction vs others: OR, 5.19; 95% CI, 1.30 to 20.75) were associated with a significantly improved diagnostic performance. Conclusions: Repeat EUS-FNA/B is essential for patients with an inconclusive EUS-FNA/B without ROSE. To improve the diagnostic performance of repeated EUS-FNA/B, it is recommended that 22-gauge FNB needles, ≥4 needle passes, and suction methods are used. Copyright © Gut and Liver. | - |
dc.description.statementOfResponsibility | open | - |
dc.format | application/pdf | - |
dc.language | English | - |
dc.publisher | Editorial Office of Gut and Liver | - |
dc.relation.isPartOf | GUT AND LIVER | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.title | Factors Influencing the Diagnostic Performance of Repeat Endoscopic Ultrasound-Guided Fine-Needle Aspiration/Biopsy after the First Inconclusive Diagnosis of Pancreatic Solid Lesions | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Internal Medicine (내과학교실) | - |
dc.contributor.googleauthor | Jae Hee Cho | - |
dc.contributor.googleauthor | Jaihwan Kim | - |
dc.contributor.googleauthor | Hee Seung Lee | - |
dc.contributor.googleauthor | Su Jeong Ryu | - |
dc.contributor.googleauthor | Sung Ill Jang | - |
dc.contributor.googleauthor | Eui Joo Kim | - |
dc.contributor.googleauthor | Huapyong Kang | - |
dc.contributor.googleauthor | Sang Soo Lee | - |
dc.contributor.googleauthor | Tae Jun Song | - |
dc.contributor.googleauthor | Seungmin Bang | - |
dc.identifier.doi | 10.5009/gnl220529 | - |
dc.contributor.localId | A01786 | - |
dc.contributor.localId | A03349 | - |
dc.contributor.localId | A03441 | - |
dc.contributor.localId | A03902 | - |
dc.relation.journalcode | J00954 | - |
dc.identifier.eissn | 2005-1212 | - |
dc.identifier.pmid | 37317559 | - |
dc.subject.keyword | Biopsy | - |
dc.subject.keyword | Endoscopic ultrasound-guided fine needle aspiration | - |
dc.subject.keyword | Pancreatic neopla는 | - |
dc.contributor.alternativeName | Bang, Seungmin | - |
dc.contributor.affiliatedAuthor | 방승민 | - |
dc.contributor.affiliatedAuthor | 이희승 | - |
dc.contributor.affiliatedAuthor | 장성일 | - |
dc.contributor.affiliatedAuthor | 조재희 | - |
dc.citation.volume | 18 | - |
dc.citation.number | 1 | - |
dc.citation.startPage | 184 | - |
dc.citation.endPage | 191 | - |
dc.identifier.bibliographicCitation | GUT AND LIVER, Vol.18(1) : 184-191, 2024-01 | - |
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