Consensus statements on endoscopic ultrasound-guided tissue acquisition. Guidelines from the Asian Endoscopic Ultrasound Group

被引:7
作者
Chong, Charing Ching-Ning [1 ,18 ]
Pittayanon, Rapat [6 ,7 ]
Pausawasdi, Nonthalee [8 ]
Bhatia, Vikram [9 ]
Okuno, Nozomi [11 ]
Tang, Raymond Shing-Yan [2 ]
Cheng, Tsu-Yao [13 ]
Kuo, Yu-Ting [14 ]
Oh, Dongwook [15 ]
Song, Tae Jun [15 ]
Kim, Tae Hyeon [16 ]
Hara, Kazuo [11 ]
Chan, Anthony Wing-Hung [3 ]
Leung, Howard Ho Wai [3 ]
Yang, Aiming [4 ]
Jin, Zhendong [5 ]
Xu, Can [5 ]
Lakhtakia, Sundeep [10 ]
Wang, Hsiu-Po [14 ]
Seo, Dong-Wan [16 ]
Teoh, Anthony Yuen-Bun [1 ]
Ho, Lawrence Khek-Yu [17 ]
Kida, Mitsuhiro [12 ]
机构
[1] Chinese Univ Hong Kong, Prince Wales Hosp, Dept Surg, Hong Kong, Peoples R China
[2] Chinese Univ Hong Kong, Prince Wales Hosp, Fac Med, Dept Med & Therapeut,Inst Digest Dis, Hong Kong, Peoples R China
[3] Chinese Univ Hong Kong, Prince Wales Hosp, Dept Anat & Cellular Pathol, Lab Translat Oncol, Hong Kong, Peoples R China
[4] Chinese Acad Med Sci & Peking Union Med Coll, Peking Union Med Coll Hosp, Dept Gastroenterol, Beijing, Peoples R China
[5] Changhai Hosp, Dept Gastroenterol, Shanghai, Peoples R China
[6] Chulalongkorn Univ, Fac Med, Dept Med, Div Gastroenterol, Bangkok, Thailand
[7] King Chulalongkorn Mem Hosp, Thai Red Cross, Bangkok, Thailand
[8] Mahidol Univ, Fac Med, Siriraj Endoscopy Ctr, Div Gastroenterol,Dept Internal Med,Siriraj Hosp, Bangkok, Thailand
[9] Inst Liver & Biliary Sci, Dept Hepatol, New Delhi, India
[10] Asian Inst Gastroenterol, Dept Gastroenterol, Hyderabad, India
[11] Aichi Canc Ctr Hosp, Dept Gastroenterol, Aichi, Japan
[12] Kitasato Univ, Sch Med, Dept Gastroenterol, Kanagawa, Japan
[13] Natl Taiwan Univ Hosp, Dept Lab Med, Taipei, Taiwan
[14] Natl Taiwan Univ Hosp, Dept Internal Med, Div Gastroenterol & Hepatol, Taipei, Taiwan
[15] Univ Ulsan, Coll Med, Asan Med Ctr, Dept Gastroenterol, Seoul, South Korea
[16] Wonkwang Univ Hosp, Dept Internal Med, Iksan, South Korea
[17] Natl Univ Hlth Syst, Univ Med Cluster, Natl Univ Hosp, Div Gastroenterol & Hepatol, Singapore, Singapore
[18] Prince Wales Hosp, Dept Surg, Shatin, 4-F Lui Che Woo Clin Sci Bldg,30-32 Ngan Shing St, Hong Kong, Peoples R China
关键词
endoscopic ultrasound; fine-needle aspiration; fine-needle biopsy; guidelines; tissue acquisition; FINE-NEEDLE-ASPIRATION; RANDOMIZED CONTROLLED-TRIAL; GASTROENTEROLOGY EUROPEAN-SOCIETY; MALIGNANT BILIARY STRICTURE; PANCREATIC CYSTIC NEOPLASMS; EUS-FNA; DIAGNOSTIC YIELD; ON-SITE; SUBEPITHELIAL LESIONS; 25-GAUGE NEEDLES;
D O I
10.1111/den.14768
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
ObjectivesThis consensus was developed by the Asian EUS Group (AEG), who aimed to formulate a set of practice guidelines addressing various aspects of endoscopic ultrasound-guided tissue acquisition (EUS-TA).MethodsThe AEG initiated the development of consensus statements and formed an expert panel comprising surgeons, gastroenterologists, and pathologists. Three online consensus meetings were conducted to consolidate the statements and votes. The statements were presented and discussed in the first two consensus meetings and revised according to comments. Final voting was conducted at a third consensus meeting. The Grading of Recommendations, Assessment, Development, and Evaluation system was adopted to define the strength of the recommendations and quality of evidence.ResultsA total of 20 clinical questions and statements regarding EUS-TA were formulated. The committee recommended that fine-needle biopsy (FNB) needles be preferred over conventional fine-needle aspiration (FNA) needles for EUS-TA of subepithelial lesions. For solid pancreatic masses, rapid on-site evaluation is not routinely recommended when FNB needles are used. For dedicated FNB needles, fork-tip and Franseen-tip needles have essentially equivalent performance.ConclusionThis consensus provides guidance for EUS-TA, thereby enhancing the quality of EUS-TA.
引用
收藏
页码:871 / 883
页数:13
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