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How to optimize the diagnostic yield of endoscopic ultrasound-guided fine-needle sampling in solid pancreatic lesions from a technical perspective

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초록

Endoscopic ultrasound-guided fine-needle aspiration is currently the gold standard in the diagnosis of solid pancreatic lesions, with high diagnostic accuracy. However, this technique is demanding, as its diagnostic yield and efficacy are affected by several factors, including the rapid on-site cyto-logic evaluation, sampling techniques, needle size and type, use of a stylet, suction techniques, number of needle passes, and novel techniques. This article provides information on up-to-date advances and considerations for maximizing the diagnostic yield of endoscopic ultrasound-guided fine-needle sampling in solid pancreatic lesions, especially from a technical perspective.

Abstract

Endoscopic ultrasound-guided fine-needle aspiration is currently the gold standard in the diagnosis of solid pancreatic lesions, with high diagnostic accuracy. However, this technique is demanding, as its diagnostic yield and efficacy are affected by several factors, including the rapid on-site cyto-logic evaluation, sampling techniques, needle size and type, use of a stylet, suction techniques, number of needle passes, and novel techniques. This article provides information on up-to-date advances and considerations for maximizing the diagnostic yield of endoscopic ultrasound-guided fine-needle sampling in solid pancreatic lesions, especially from a technical perspective.

참고문헌 (73)

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관련 논문AI추천

Technical Advances in Endoscopic Ultrasound(EUS)-Guided Tissue Acquisition for Pancreatic Cancers: How Can We Get the Best Results with EUS-Guided Fine Needle Aspiration?Michel Kahaleh, Monica Gaidhane, Prashant Kedia대한소화기내시경학회 · Clinical Endoscopy2013 · 제46권 제5호Endoscopic Ultrasound-Guided Fine Needle Biopsy Needles Provide Higher Diagnostic Yield Compared to Endoscopic Ultrasound-Guided Fine Needle Aspiration Needles When Sampling Solid Pancreatic Lesions: A Meta-AnalysisBenjamin D. Renelus, Daniel S. Jamorabo, Iman Boston, John M. Poneros, William M. Briggs대한소화기내시경학회 · Clinical Endoscopy2021 · 제54권 제2호Present and Future of Endoscopic Ultrasound-Guided Tissue Acquisition in Solid Pancreatic TumorsJae Keun Park, Kwang Hyuck Lee대한소화기내시경학회 · Clinical Endoscopy2019 · 제52권 제6호Endoscopic ultrasound-guided tissue acquisition: Needle types, technical issues, and sample handlingWoo Hyun Paik소화기인터벤션의학회 · International Journal of Gastrointestinal Intervention2022 · 제11권 제3호Slow-Pull Using a Fanning Technique Is More Useful Than the Standard Suction Technique in EUS-Guided Fine Needle Aspiration in Pancreatic Masses유인경, Bora Keum, Chang Duck Kim, Eun Sun Kim, Hong Sik Lee, Hoon Jai Chun, Hyuk Soon Choi, Jae Min Lee, Jong Jin Hyun, Jung Min Lee, Seung Han Kim, Soon Ho Um, Yeon Seok Seo, Yoon Tae Jeen거트앤리버 소화기연관학회협의회 · Gut and Liver2018 · 제12권 제3호Scope position is a determining factor for diagnostic performance of endoscopic ultrasound-guided fine-needle aspiration for mass lesions in the pancreatic headHong Joo Kim, Nam Hee Kim소화기인터벤션의학회 · International Journal of Gastrointestinal Intervention2023 · 제12권 제4호

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