Endoscopic ultrasound-guided tissue sampling of pancreatic lesions.

Published on Mar 12, 2020in Minerva gastroenterologica e dietologica
· DOI :10.23736/S1121-421X.20.02614-8
Antonio Facciorusso19
Estimated H-index: 19
(University of Foggia)
Source
Abstract
Important advancements in endoscopic ultrasound-guided tissue sampling techniques and development of new needle designs have improved the diagnostic yield of pancreatic lesions. This innovation in endoscopic ultrasound has also opened the door for early diagnosis and precision therapy in the management of cancer patients. Endoscopic ultrasound fine needle biopsy is an invaluable tool and newer biopsy designs will probably play a pivotal role in the management of pancreatic lesions in the next future. Aim of the current review is to provide an overview on the available techniques and devices for the endoscopic ultrasound-guided sampling of pancreatic solid and cystic lesions.
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#1Antonio Facciorusso (University of Foggia)H-Index: 19
#2Vincenzo Rosario Buccino (University of Foggia)H-Index: 7
Last. Nicola Muscatiello (University of Foggia)H-Index: 22
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BACKGROUND: Cirrhotic patients are at increased risk of adverse events (AEs) after invasive procedures. However, the safety profile of endoscopic ultrasound (EUS) fine-needle aspiration in cirrhotic patients is still unknown. OBJECTIVES: To examine the AEs rate after EUS fine-needle aspiration in cirrhotic patients as compared to a control group of noncirrhotic patients. METHODS: Out of 735 patients with suspected abdominal lesions referred to our center between 2006 and 2018, after propensity-s...
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#1Antonio Facciorusso (University of Foggia)H-Index: 19
#2Sumsum P. SunnyH-Index: 1
Last. Nicola Muscatiello (University of Foggia)H-Index: 22
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Abstract Background and Aims There is limited evidence on the diagnostic performance of endoscopic ultrasound-guided fine-needle biopsy in patients with subepithelial lesions. Aim of this meta-analysis was to compare EUS-guided fine-needle biopsy performance to fine-needle aspiration in patients with GI subepithelial lesions. Methods Computerized bibliographic search on the main databases was performed through May 2019. Primary endpoint was sample adequacy. Secondary outcomes were diagnostic acc...
19 CitationsSource
#1Antonio Facciorusso (University of Foggia)H-Index: 20
#2Sachin Wani (Anschutz Medical Campus)H-Index: 68
Last. Siddharth Singh (UCSD: University of California, San Diego)H-Index: 67
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Abstract Background and Aims Variable diagnostic performance of sampling techniques during EUS-guided tissue acquisition of solid pancreatic masses based on needle type [fine-needle aspiration (FNA) versus fine-needle biopsy (FNB)] and gauge (19-gauge vs 22-gauge vs 25-gauge) has been reported. We performed a systematic review with network meta-analysis to compare the diagnostic accuracy of EUS-guided techniques for sampling solid pancreatic masses. Methods Through a systematic literature review...
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#1Antonio Facciorusso (University of Foggia)H-Index: 19
#2Valentina Del Prete (University of Foggia)H-Index: 13
Last. Nicola Muscatiello (University of Foggia)H-Index: 22
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#2Vincenzo Rosario Buccino (University of Foggia)H-Index: 7
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Background In spite of the weak evidence, antibiotic prophylaxis prior to endoscopic ultrasound-guided fine-needle aspiration of pancreatic cystic lesions is routinely used in the clinical practice.
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14 CitationsSource
#1Antonio Facciorusso (University of Foggia)H-Index: 19
#2Harshvardhan Singh Bajwa (Government Medical College, Thiruvananthapuram)H-Index: 1
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Background and Objective: Robust data in favor of clear superiority of 22G fine-needle biopsy (FNB) over 22G FNA for an echoendoscopic-guided sampling of pancreatic masses are lacking. The objective of this study is to compare the diagnostic outcomes and sample adequacy of these two needles. Materials and Methods: Computerized bibliographic search on the main databases was performed and restricted to only randomized controlled trials. Summary estimates were expressed regarding risk ratio (RR) an...
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Cited By3
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#1Antonio Facciorusso (University of Foggia)H-Index: 19
#2Babu P. Mohan (UofU: University of Utah)H-Index: 3
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OBJECTIVES It is still unclear whether endoscopic ultrasound (EUS) contrast-enhanced fine-needle aspiration (CH-EUS-FNA) determines superior results in comparison to standard EUS-FNA in tissue acquisition of pancreatic masses. Aim of this meta-analysis was to compare the diagnostic outcomes of these two techniques. METHODS We searched the PubMed/Medline and Embase database through October 2020 and identified 6 studies, of which 2 randomized controlled trials (recruiting 701 patients). We perform...
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#1Antonio FacciorussoH-Index: 19
Last. Nicola MuscatielloH-Index: 22
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#1Antonio FacciorussoH-Index: 19
#2Antonio TurcoH-Index: 2
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In spite of promising preliminary results, evidence supporting the use of non-anesthesiologist-administered propofol sedation (NAAP) in endoscopic ultrasound (EUS) procedures is still limited. The aim of this manuscript was to examine the safety and efficacy of NAAP as compared to anesthesiologist-administered propofol sedation in EUS procedures performed in a referral center. Out of 832 patients referred to our center between 2016 and 2019, after propensity score matching two groups were compar...
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