A comparison of the antegrade core trap and reverse bevel needles for EUS-guided fine-needle biopsy sampling of liver mass: a prospective randomized cross over study

被引：3

作者：

Kongkam, Pradermchai ^{[1
,2
,3
,4
,5
,6
]}

Nalinthassanai, Nutbordee ^{[1
,2
,3
,4
]}

Prueksapanich, Piyapan ^{[1
,2
,3
,4
]}

Sanpavat, Anapat ^{[3
,7
]}

Canones, Arlyn R. ^{[1
,2
,3
,4
,8
]}

Luangsukrerk, Thanawat ^{[1
,2
,3
,4
]}

Angsuwatcharakon, Phonthep ^{[1
,2
,3
,9
]}

Ridtitid, Wiriyaporn ^{[1
,2
,3
]}

Kullavanijaya, Pinit ^{[1
,2
,3
]}

Treeprasertsuk, Sombat ^{[1
,2
,3
]}

Rerknimitr, Rungsun ^{[1
,2
,3
]}

机构：

[1] Chulalongkorn Univ, Fac Med, Excellence Ctr Gastrointestinal Endoscopy, 1873 Rama 4 Rd, Bangkok 10330, Thailand

[2] Chulalongkorn Univ, Fac Med, Dept Med, Div Gastroenterol, Bangkok, Thailand

[3] King Chulalongkorn Mem Hosp, Thai Red Cross Soc, 1873 Rama 4 Rd, Bangkok 10330, Thailand

[4] Chulalongkorn Univ, Fac Med, Dept Med, Pancreas Res Unit, 1873 Rama 4 Rd, Bangkok 10330, Thailand

[5] Chulalongkorn Univ, Fac Med, Dept Med, Div Hosp & Ambulatory Med, Bangkok, Thailand

[6] Chulalongkorn Univ, Trop Med Cluster, Bangkok, Thailand

[7] Chulalongkorn Univ, Fac Med, Dept Pathol, Bangkok, Thailand

[8] Rizal Med Ctr, Sect Surg Endoscopy & Minimally Invas Surg, Dept Surg, Pasig, Philippines

[9] Chulalongkorn Univ, Fac Med, Dept Anat, Bangkok, Thailand

来源：

HPB | 2022年 / 24卷 / 06期

关键词：

LESIONS; PAIN; FNA;

D O I：

10.1016/j.hpb.2021.10.009

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Background: Data on the use of EUS-guided fine-needle biopsy (EUS-FNB) of solid liver mass (SLM) for pathology is limited. Methods: To prove superiority of the diagnostic rate of the newly designed modified Menghini-type needle with a beveled side-slot near the needle tip with slot cutting edge directed 20-gauge antegrade bevel (group A) over the original 22-gauge reverse bevel (group B) for EUS-guided fine-needle biopsy (EUS-FNB) of solid liver mass (SLM) in a prospective crossover randomized controlled trial. Results: The overall diagnostic accuracy rate of the 52 passes was 86.5% (45/52) and of group A versus B were 88.5% (23/26) versus 84.6% (22/26), respectively, p = 0.858. Tissue adequacy levels of both groups were not significantly different (grade A: B: C = 18:6:2 versus 16:7:3), p = 0.839). Grading of blood contamination of both groups was not significantly different. However, it was found that the group-A needles could biopsy tissue of significantly longer length than that of the group B; 1.3 cm (SD = 0.76) versus 0.8 cm (SD = 0.54); p = 0.007. Conclusion: The use of EUS-FNB of SLM is highly effective with similar levels of efficacy and number of adverse events between both types of needles.

引用

页码：797 / 805

页数：9

共 14 条

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