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Endoscopic Ultrasound-Guided, Percutaneous, and Transjugular Liver Biopsy: A Comparative Systematic Review and Meta-Analysis

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Background/Aims: Percutaneous liver biopsy (PCLB) or transjugular liver biopsy (TJLB) have traditionally been performed toobtain a sample of hepatic tissue; however, endoscopic ultrasound-guided liver biopsy (EUSLB) has become an attractive alternative. The aim of this study was to compare the efficacy and safety of EUSLB, PCLB, and TJLB. Methods: Search strategies were developed in accordance with PRISMA and MOOSE guidelines. Major outcomes included thefollowing: adequacy of biopsy specimens (i.e., complete portal triads [CPT], total specimen length [TSL] in mm, and length oflongest piece [LLP]) in mm), and rate of adverse events. Only studies comparing all biopsy approaches (i.e., EUSLB, PCLB, andTJLB) were included. Results: Five studies (EUSLB [n=301]; PCLB [n=176]; and TJLB [n=179]) were included. Biopsy cumulative adequacy rates forEUSLB, PCLB, and TJLB were 93.51%, 98.27%, and 97.61%, respectively. Based on the subgroup analysis limited to EUS biopsyneedles in current clinical practice, there was no difference in biopsy adequacy or adverse events for EUSLB compared to PCLB andTJLB (all p>0.050). A comparison of EUSLB and PCLB revealed no difference between specimens regarding both CPT (p=0.079) andLLP (p=0.085); however, a longer TSL (p<0.001) was observed. Compared to TJLB, EUSLB showed no difference in LLP (p=0.351),fewer CPT (p=0.042), and longer TSL (p=0.005). Conclusions: EUSLB appears to be a safe, minimally invasive procedure that is comparable to PCLB and TJLB regarding biopsyspecimens obtained and rate of adverse events associated with each method.

Abstract

Background/Aims: Percutaneous liver biopsy (PCLB) or transjugular liver biopsy (TJLB) have traditionally been performed toobtain a sample of hepatic tissue; however, endoscopic ultrasound-guided liver biopsy (EUSLB) has become an attractive alternative. The aim of this study was to compare the efficacy and safety of EUSLB, PCLB, and TJLB. Methods: Search strategies were developed in accordance with PRISMA and MOOSE guidelines. Major outcomes included thefollowing: adequacy of biopsy specimens (i.e., complete portal triads [CPT], total specimen length [TSL] in mm, and length oflongest piece [LLP]) in mm), and rate of adverse events. Only studies comparing all biopsy approaches (i.e., EUSLB, PCLB, andTJLB) were included. Results: Five studies (EUSLB [n=301]; PCLB [n=176]; and TJLB [n=179]) were included. Biopsy cumulative adequacy rates forEUSLB, PCLB, and TJLB were 93.51%, 98.27%, and 97.61%, respectively. Based on the subgroup analysis limited to EUS biopsyneedles in current clinical practice, there was no difference in biopsy adequacy or adverse events for EUSLB compared to PCLB andTJLB (all p>0.050). A comparison of EUSLB and PCLB revealed no difference between specimens regarding both CPT (p=0.079) andLLP (p=0.085); however, a longer TSL (p<0.001) was observed. Compared to TJLB, EUSLB showed no difference in LLP (p=0.351),fewer CPT (p=0.042), and longer TSL (p=0.005). Conclusions: EUSLB appears to be a safe, minimally invasive procedure that is comparable to PCLB and TJLB regarding biopsyspecimens obtained and rate of adverse events associated with each method.

참고문헌 (55)

  1. Bravo AA, "Liver biopsy", N Engl J Med, 344, pp.495~500 (2001)
  2. Tapper EB, "Use of liver imaging and biopsy in clinical practice", N Engl J Med, 377, pp.756~768 (2017)
  3. Menghini G, "One-second needle biopsy of the liver", Gastroenterology, 35, pp.190~199 (1958)
  4. van Leeuwen DJ, "Liver biopsy in the mid-1990s : questions and answers", Semin Liver Dis, 15, pp.340~359 (1995)
  5. Kirley K, "National trends in oral anticoagulant use in the United States, 2007 to 2011", Circ Cardiovasc Qual Outcomes, 5, pp.615~621 (2012)
  6. Grant A, "Guidelines on the use of liver biopsy in clinical practice", Gut, 45(Suppl 4), pp.IV1~IV11 (1999), British Society of Gastroenterology
  7. Dotter CT, "Catheter biopsy. Experimental technic for transvenous liver biopsy", Radiology, 82, pp.312~314 (1964)
  8. Rockey DC, "Liver biopsy", Hepatology, 49, pp.1017~1044 (2009)
  9. Sheela H, "Liver biopsy : evolving role in the new millennium", J Clin Gastroenterol, 39, pp.603~610 (2005)
  10. Kalambokis G, "Transjugular liver biopsy--indications, adequacy, quality of specimens, and complications--a systematic review", J Hepatol, 47, pp.284~294 (2007)
  11. Schwarzer R, "Liver biopsy-transjugular", Clin Liver Dis(Hoboken), 4, pp.113~115 (2014)
  12. Dewitt J, "Initial experience with EUS-guided Tru-cut biopsy of benign liver disease", Gastrointest Endosc, 69(3 Pt 1), pp.535~542 (2009)
  13. Hollerbach S, "Endoscopic ultrasound-guided fine-needle aspiration biopsy of liver lesions : histological and cytological assessment", Endoscopy, 35, pp.743~749 (2003)
  14. Nakanishi Y, "One hundred thirteen consecutive transgastric liver biopsies for hepatic parenchymal diseases : a single-institution study", Am J Surg Pathol, 39, pp.968~976 (2015)
  15. Liberati A, "The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions : explanation and elaboration", Ann Intern Med, 151, pp.W65~W94 (2009)
  16. Stroup DF, "Meta-analysis of observational studies in epidemiology : a proposal for reporting. Meta-analysis of observational studies in epidemiology(MOOSE)group", JAMA, 283, pp.2008~2012 (2000)
  17. Schulman AR, "Optimizing EUS-guided liver biopsy sampling : comprehensive assessment of needle types and tissue acquisition techniques", Gastrointest Endosc, 85, pp.419~426 (2017)
  18. Mok SRS, "The role of EUS in liver biopsy", Curr Gastroenterol Rep, 21, pp.6~ (2019)
  19. Hirano T, "Direct surface cooling of the exocrine pancreas in the rat", Br J Surg, 79, pp.803~806 (1992)
  20. Mohan BP, "Efficacy and safety of EUS-guided liver biopsy : a systematic review and meta-analysis", Gastrointest Endosc, 89, pp.238~246.e3 (2019)
  21. Standish RA, "An appraisal of the histopathological assessment of liver fibrosis", Gut, 55, pp.569~578 (2006)
  22. Colloredo G, "Impact of liver biopsy size on histological evaluation of chronic viral hepatitis : the smaller the sample, the milder the disease", J Hepatol, 39, pp.239~244 (2003)
  23. Cholongitas E, "A systematic review of the quality of liver biopsy specimens", Am J Clin Pathol, 125, pp.710~721 (2006)
  24. DerSimonian R, "Meta-analysis in clinical trials", Control Clin Trials, 7, pp.177~188 (1986)
  25. Stuart A, "Kendall’s advanced theory of statistics" (1994), Edward Arnold
  26. McCarty TR, "Efficacy of transoral incisionless fundoplication for refractory gastroesophageal reflux disease : a systematic review and meta-analysis", Endoscopy, 50, pp.708~725 (2018)
  27. McCarty TR, "Self-expanding metal stents for acute refractory esophageal variceal bleeding : a systematic review and meta-analysis", Dig Endosc, 28, pp.539~547 (2016)
  28. Riley RD, "Interpretation of random effects meta-analyses", BMJ, 342, pp.d549~ (2011)
  29. Higgins JP, "Measuring inconsistency in meta-analyses", BMJ, 327, pp.557~560 (2003)
  30. Overton RC, "A comparison of fixed-effects and mixed(random-effects)models for meta-analysis tests of moderator variable effects", Psychol Methods, 3, pp.354~379 (1998)
  31. Inoue T, "Clinical features of post-polypectomy bleeding associated with heparin bridge therapy", Dig Endosc, 26, pp.243~249 (2014)
  32. Jadad AR, "Assessing the quality of reports of randomized clinical trials : is blinding necessary?", Control Clin Trials, 17, pp.1~12 (1996)
  33. Gage BF, "Validation of clinical classification schemes for predicting stroke : results from the national registry of atrial fibrillation", JAMA, 285, pp.2864~2870 (2001)
  34. Borenstein M, "Basics of meta-analysis : I2 is not an absolute measure of heterogeneity", Res Synth Methods, 8, pp.5~18 (2017)
  35. Borenstein M, "Introduction to meta-analysis" (2011), Wiley
  36. Higgins JP, "A re-evaluation of random-effects meta-analysis", J R Stat Soc Ser A Stat Soc, 172, pp.137~159 (2009)
  37. Egger M, "Bias in meta-analysis detected by a simple, graphical test", BMJ, 315, pp.629~634 (1997)
  38. Easterbrook PJ, "Publication bias in clinical research", Lancet, 337, pp.867~872 (1991)
  39. Duval S, "Trim and fill : a simple funnel-plot-based method of testing and adjusting for publication bias in meta-analysis", Biometrics, 56, pp.455~463 (2000)
  40. Pineda JJ, "EUS-guided liver biopsy provides diagnostic samples comparable with those via the percutaneous or transjugular route", Gastrointest Endosc, 83, pp.360~365 (2016)
  41. Foor-Pessin C, "Histologic yield of endoscopic ultrasound guided liver biopsy compared to percutaneous and transjugular approaches : a single-center retrospective review", Gastrointest Endosc, 85(5 Suppl), pp.AB485~AB486 (2017)
  42. Shahshahan M, "Endoscopic ultrasound-guided liver biopsy versus percutaneous and trans-jugular liver biopsy for evaluation of liver parenchyma", Gastrointest Endosc, 85(5 Suppl), pp.AB490~ (2017)
  43. El Chafic AH, "Endoscopic ultrasound-guided liver biopsy compared to percutaneous and transjugular liver biopsy : a tertiary center experience : category award(interventional endoscopy)", Am J Gastroenterol, 113, pp.S421~ (2018)
  44. Diehl DL, "Endoscopic ultrasound-guided liver biopsy : a multicenter experience", Endosc Int Open, 3, pp.E210~E215 (2015)
  45. Maharaj B, "Sampling variability and its influence on the diagnostic yield of percutaneous needle biopsy of the liver", Lancet, 1, pp.523~525 (1986)
  46. Gilmore IT, "Indications, methods, and outcomes of percutaneous liver biopsy in England and Wales : an audit by the British Society of Gastroenterology and the Royal College of Physicians of London", Gut, 36, pp.437~441 (1995)
  47. Singh P, "Endoscopic ultrasound versus CT scan for detection of the metastases to the liver : results of a prospective comparative study", J Clin Gastroenterol, 43, pp.367~373 (2009)
  48. Mathew A, "EUS-guided routine liver biopsy in selected patients", Am J Gastroenterol, 102, pp.2354~2355 (2007)
  49. Diehl DL, "Heparin priming of EUS-FNA needles does not adversely affect tissue cytology or immunohistochemical staining", Endosc Int Open, 6, pp.E356~E362 (2018)
  50. Mok SRS, "Endoscopic ultrasound-guided biopsy in chronic liver disease : a randomized comparison of 19-G FNA and 22-G FNB needles", Endosc Int Open, 7, pp.E62~E71 (2019)
  51. Schulman AR, "EUS-guided portal pressure measurement using a digital pressure wire with real-time remote display : a novel, minimally invasive technique for direct measurement in an animal model", Gastrointest Endosc, 83, pp.817~820 (2016)
  52. Schulman AR, "Endoscopic ultrasound-guided direct portal pressure measurement using a digital pressure wire with real-time remote display : a survival study", J Laparoendosc Adv Surg Tech A, 27, pp.1051~1054 (2017)
  53. Huang JY, "EUS-guided portal pressure gradient measurement with a simple novel device : a human pilot study", Gastrointest Endosc, 85, pp.996~1001 (2017)
  54. Samarasena JB, "EUS-guided portal pressure gradient measurement with a simple novel device : a human pilot study", VideoGIE, 3, pp.361~363 (2018)
  55. Mohan BP, "Heterogeneity in systematic review and meta-analysis : how to read between the numbers", Gastrointest Endosc, 89, pp.902~903 (2019)

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