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 | Cho, Jae Hee | - |
dc.contributor.author | Kim, Jaihwan | - |
dc.contributor.author | Lee, Hee Seung | - |
dc.contributor.author | Ryu, Su Jeong | - |
dc.contributor.author | Jang, Sung Ill | - |
dc.contributor.author | Kim, Eui Joo | - |
dc.contributor.author | Kang, Huapyong | - |
dc.contributor.author | Lee, Sang Soo | - |
dc.contributor.author | Song, Tae Jun | - |
dc.contributor.author | Bang, Seungmin | - |
dc.date.accessioned | 2024-05-01T10:30:20Z | - |
dc.date.available | 2024-05-01T10:30:20Z | - |
dc.date.issued | 2024-01 | - |
dc.identifier.issn | 1976-2283 | - |
dc.identifier.issn | 2005-1212 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/91068 | - |
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 & LE;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. (Gut Liver, Published online June 15, 2023) | - |
dc.format.extent | 8 | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | EDITORIAL OFFICE GUT & LIVER | - |
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.identifier.wosid | 001014608300001 | - |
dc.identifier.doi | 10.5009/gnl220529 | - |
dc.identifier.bibliographicCitation | GUT AND LIVER, v.18, no.1, pp 184 - 191 | - |
dc.identifier.kciid | ART003044413 | - |
dc.description.isOpenAccess | Y | - |
dc.identifier.scopusid | 2-s2.0-85165511901 | - |
dc.citation.endPage | 191 | - |
dc.citation.startPage | 184 | - |
dc.citation.title | GUT AND LIVER | - |
dc.citation.volume | 18 | - |
dc.citation.number | 1 | - |
dc.type.docType | Article | - |
dc.publisher.location | 대한민국 | - |
dc.subject.keywordAuthor | Endoscopic ultrasound-guided fine needle aspiration | - |
dc.subject.keywordAuthor | Biopsy | - |
dc.subject.keywordAuthor | Pancreatic neoplasms | - |
dc.subject.keywordPlus | BIOPSY | - |
dc.subject.keywordPlus | EUS | - |
dc.subject.keywordPlus | MASSES | - |
dc.relation.journalResearchArea | Gastroenterology & Hepatology | - |
dc.relation.journalWebOfScienceCategory | Gastroenterology & Hepatology | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.description.journalRegisteredClass | kci | - |
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