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EUS-FNA

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https://www.readbyqxmd.com/read/29464585/a-19-gauge-histology-needle-versus-a-19-gauge-standard-needle-in-endoscopic-ultrasound-guided-fine-needle-aspiration-for-solid-lesions-a-multicenter-randomized-comparison-study-greater-study
#1
Takuji Iwashita, Yousuke Nakai, Tsuyoshi Mukai, Osamu Togawa, Saburo Matsubara, Yuichiro Hatano, Akira Hara, Mariko Tanaka, Junji Shibahara, Masashi Fukayama, Hiroyuki Isayama, Ichiro Yasuda
BACKGROUND: The necessity of histological analysis is increasing. A 19-gauge histology needle (PC19) in endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) has recently been developed and has shown high yields of tissue acquisition and histological diagnosis. AIMS: To compare the histological diagnostic yield in single-pass EUS-FNA for solid lesions using PC19 and a standard 19-gauge needle (EC19). PATIENTS AND METHODS: Consecutive patients with solid lesions were enrolled and underwent one pass with each of PC19 and EC19 for EUS-FNA with the randomized order of the needles...
February 21, 2018: Digestive Diseases and Sciences
https://www.readbyqxmd.com/read/29459809/primary-adenosquamous-cell-carcinoma-of-the-pancreas-the-use-of-endoscopic-ultrasound-guided-fine-needle-aspiration-to-establish-a-definitive-cytologic-diagnosis
#2
Diogo Turiani Hourneaux De Moura, Martin Coronel, Danielle Azevedo Chacon, Ryan Tanigawa, Dalton M Chaves, Sérgio E Matuguma, Marcos E Lera Dos Santos, José Jukemura, Eduardo Guimarâes Hourneaux De Moura
Pancreatic cancer is the second most common malignancy of the gastrointestinal tract in the US, and adenocarcinoma has been identified as the most common type of pancreatic cancer. Different types of pancreatic cancers have been classified: adenocarcinoma, ductal adenosquamous carcinoma, solid pseudopapillary tumors, endocrine neoplasms, acinar cell carcinoma, squamous cell carcinoma, cystic tumors, primary lymphoma of the pancreas, and metastatic lesions of the pancreas. Adenosquamous carcinoma is extremely rare, behave in a very aggressive way and is responsible for the 1 to 4% of the pancreatic exocrine neoplastic lesions...
October 2017: Revista de Gastroenterología del Perú: órgano Oficial de la Sociedad de Gastroenterología del Perú
https://www.readbyqxmd.com/read/29451621/a-comparison-of-the-efficiency-of-22g-versus-25g-needles-in-eus-fna-for-solid-pancreatic-mass-assessment-a-systematic-review-and-meta-analysis
#3
Hugo Gonçalo Guedes, Diogo Turiani Hourneaux de Moura, Ralph Braga Duarte, Martin Andres Coronel Cordero, Marcos Eduardo Lera Dos Santos, Spencer Cheng, Sergio Eiji Matuguma, Dalton Marques Chaves, Wanderley Marques Bernardo, Eduardo Guimarães Hourneaux de Moura
Our aim in this study was to compare the efficiency of 25G versus 22G needles in diagnosing solid pancreatic lesions by EUS-FNA. We performed a systematic review and meta-analysis. Studies were identified in five databases using an extensive search strategy. Only randomized trials comparing 22G and 25G needles were included. The results were analyzed by fixed and random effects. A total of 504 studies were found in the search, among which 4 randomized studies were selected for inclusion in the analysis. A total of 462 patients were evaluated (233: 25G needle/229: 22G needle)...
2018: Clinics
https://www.readbyqxmd.com/read/29451172/a-case-of-gastric-wall-implantation-caused-by-eus-fna-22-months-after-pancreatic-cancer-resection
#4
Makiko Yasumoto, Yoshinobu Okabe, Hiroto Ishikawa, Jyunya Kisaki, Jun Akiba, Yoshiki Naito, Yusuke Ishida, Tomoyuki Ushijima, Osamu Tsuruta, Takuji Torimura
No abstract text is available yet for this article.
January 2018: Endoscopic Ultrasound
https://www.readbyqxmd.com/read/29451170/eus-fna-using-22g-nitinol-or-procore-needles-without-on-site-cytopathology
#5
Charing Ching Ning Chong, Anthony Yuen Bun Teoh, Raymond Shing Yan Tang, Anthony Wing Hung Chan, Enders Kwok Wai Ng, Paul Bo San Lai
Objectives: The project is aimed to compare the tissue sampling rate and the diagnostic accuracy rate of EUS-FNA using 22G nitinol and reverse bevel-tipped needles. Subjects and Methods: This was a prospective, randomized, crossover study in a tertiary academic hospital. All consecutive adult patients undergoing EUS-guided FNA for lesions > 2 cm were recruited. Patients fulfilling the inclusion and exclusion criteria underwent EUS-guided FNA using both needles in sequence...
January 2018: Endoscopic Ultrasound
https://www.readbyqxmd.com/read/29451167/a-multicenter-comparative-trial-of-a-novel-eus-guided-core-biopsy-needle-sharkcore-%C3%A2-with-the-22-gauge-needle-in-patients-with-solid-pancreatic-mass-lesions
#6
Mariam Naveed, Ali A Siddiqui, Thomas E Kowalski, David E Loren, Ammara Khalid, Ayesha Soomro, Syed M Mazhar, Joseph Yoo, Raza Hasan, Silpa Yalamanchili, Nicholas Tarangelo, Linda J Taylor, Douglas G Adler
Background and Objectives: The ability to obtain adequate tissue of solid pancreatic lesions by EUS-guided remains a challenge. The aim of this study was to compare the performance characteristics and safety of EUS-FNA for evaluating solid pancreatic lesions using the standard 22-gauge needle versus a novel EUS biopsy needle. Methods: This was a multicenter retrospective study of EUS-guided sampling of solid pancreatic lesions between 2009 and 2015. Patients underwent EUS-guided sampling with a 22-gauge SharkCore (SC) needle or a standard 22-gauge FNA needle...
January 2018: Endoscopic Ultrasound
https://www.readbyqxmd.com/read/29451166/molecular-analysis-of-pancreatic-cyst-fluid-changes-clinical-management
#7
David M Arner, Brooke E Corning, Ali M Ahmed, Henry C Ho, Bradley J Weinbaum, Uzma Siddiqui, Harry Aslanian, Reid B Adams, Todd W Bauer, Andrew Y Wang, Vanessa M Shami, Bryan G Sauer
Background and Objectives: DNA molecular analysis has been suggested as a tool to evaluate pancreatic cysts. This study assesses whether the addition of DNA molecular analysis alters clinical management. Methods: This is a retrospective review of 46 consecutive patients who underwent EUS-FNA of pancreatic cysts with DNA molecular analysis at two major academic institutions. Cases were presented to two pancreaticobiliary surgeons first without and then with DNA molecular analysis data...
January 2018: Endoscopic Ultrasound
https://www.readbyqxmd.com/read/29428108/diagnostic-yield-of-eus-fna-of-small-%C3%A2-15%C3%A2-mm-solid-pancreatic-lesions-using-a-25-gauge-needle
#8
Stefano Francesco Crinò, Maria Cristina Conti Bellocchi, Laura Bernardoni, Erminia Manfrin, Alice Parisi, Antonio Amodio, Nicolò De Pretis, Luca Frulloni, Armando Gabbrielli
BACKGROUND: Early detection of small solid pancreatic lesions is increasingly common. To date, few and contradictory data have been published about the relationship between lesion size and endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) diagnostic yield. The aim of this study was to assess the relation between the size of solid pancreatic lesions and the diagnostic yield of EUS-FNA using a 25-gauge needle in a center without available rapid on-site evaluation. METHODS: In the retrospective cohort study, we selected patients who underwent EUS-FNA for solid pancreatic lesions with a 25-gauge needle from October 2014 to October 2015...
February 2018: Hepatobiliary & Pancreatic Diseases International: HBPD INT
https://www.readbyqxmd.com/read/29421916/a-prospective-controlled-assessment-of-the-technical-characteristics-of-a-novel-forward-viewing-echoendoscope
#9
Ángel Cañete Ruiz, Jose Ramón Foruny Olcina, Fernando González-Panizo, Alejandra Caminoa, Antonia Navarro, Diego Juzgado Lucas, Agustín Albillos Martínez, Enrique Vázquez Sequeiros
INTRODUCTION: endoscopic ultrasound (EUS) is a highly useful technique for the diagnosis and management of different gastrointestinal (GI) tract conditions. OBJECTIVE: to prospectively assess the clinical usefulness of a novel forward-viewing echoendoscope (FV-CLA). METHODS: this was a cross-sectional observational study. All patients that underwent EUS over a two-month period were considered for the study. All mediastinal, perigastric and periduodenal stations were consistently assessed with a rating from 0 to 10 points with regard to the ease to obtain ultrasonographic sections and the quality of ultrasound images...
February 9, 2018: Revista Española de Enfermedades Digestivas
https://www.readbyqxmd.com/read/29420366/endoscopic-ultrasound-guided-fine-needle-aspiration-of-portal-vein-thrombosis-in-patients-with-chronic-liver-disease-and-suspicion-of-hepatocellular-carcinoma
#10
Antonio Z Gimeno Garcia, Jose R Aparicio, Angel Barturen, Miguel Moreno, David Nicolas-Perez, Enrique Quintero
BACKGROUND: Differentiation between benign and malignant portal vein thrombosis (PVT) in the setting of a hepatocellular carcinoma (HCC) is of paramount importance. Histological analysis is usually not carried out because of potential severe side effects of the percutaneous approach. Endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) may be safer and may guide the clinical management of patients with HCC. OBJECTIVE: To describe the feasibility of the EUS-FNA in a series of patients with HCC and PVT...
February 7, 2018: European Journal of Gastroenterology & Hepatology
https://www.readbyqxmd.com/read/29409308/a-prospective-multicenter-study-evaluating-bleeding-risk-after-endoscopic-ultrasound-guided-fine-needle-aspiration-in-patients-prescribed-antithrombotic-agents
#11
Kazumichi Kawakubo, Kei Yane, Kazunori Eto, Hirotoshi Ishiwatari, Nobuyuki Ehira, Shin Haba, Ryusuke Matsumoto, Keisuke Shinada, Hiroaki Yamato, Taiki Kudo, Manabu Onodera, Toshinori Okuda, Yoko Taya-Abe, Shuhei Kawahata, Kimitoshi Kubo, Yoshimasa Kubota, Masaki Kuwatani, Hiroshi Kawakami, Akio Katanuma, Michihiro Ono, Tsuyoshi Hayashi, Minoru Uebayashi, Naoya Sakamto
Background/Aims: Although the risk of bleeding after endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) is low, the safety of EUS-FNA in patients prescribed antithrombotic agents is unclear. Therefore, this study evaluated the incidence of bleeding after EUS-FNA in those patients. Methods: Between September 2012 and September 2015, patients who were prescribed antithrombotic agents underwent EUS-FNA at 13 institutions in Japan were prospectively enrolled in the study...
February 8, 2018: Gut and Liver
https://www.readbyqxmd.com/read/29409303/slow-pull-using-a-fanning-technique-is-more-useful-than-the-standard-suction-technique-in-eus-guided-fine-needle-aspiration-in-pancreatic-masses
#12
Jae Min Lee, Hong Sik Lee, Jong Jin Hyun, Jung Min Lee, In Kyung Yoo, Seung Han Kim, Hyuk Soon Choi, Eun Sun Kim, Bora Keum, Yeon Seok Seo, Yoon Tae Jeen, Hoon Jai Chun, Soon Ho Um, Chang Duck Kim
Background/Aims: Endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) is useful for obtaining pancreatic mass samples. The combination of modified techniques (i.e., slow-pull technique and fanning technique) may improve the quality of the sample obtained by EUS-FNA. We investigated the effectiveness of a combined slow-pull fanning technique in EUS-FNA for pancreatic mass. Methods: This prospective comparative study investigated EUS-FNA performed for pancreatic solid masses between August 2015 and July 2016...
February 8, 2018: Gut and Liver
https://www.readbyqxmd.com/read/29404819/significance-of-glucose-transporter-type-1-glut-1-expression-in-the-therapeutic-strategy-for-pancreatic-ductal-adenocarcinoma
#13
Hiroshi Kurahara, Kosei Maemura, Yuko Mataki, Masahiko Sakoda, Satoshi Iino, Yota Kawasaki, Takaaki Arigami, Shinichiro Mori, Yuko Kijima, Shinichi Ueno, Hiroyuki Shinchi, Shoji Natsugoe
BACKGROUND: This study aimed to examine the prognostic relevance of glucose transporter type 1 (GLUT-1), which is a key regulator of the glucose metabolism. In particular, the study aimed to examine the association between GLUT-1 expression and the therapeutic effect of chemoradiotherapy (CRT) in pancreatic ductal adenocarcinoma (PDAC). METHODS: Patients with PDAC were enrolled in the study. Patients with distant metastases and those who received only chemotherapy as treatment were excluded from the study...
February 5, 2018: Annals of Surgical Oncology
https://www.readbyqxmd.com/read/29404729/evaluation-of-22g-fine-needle-aspiration-fna-versus-fine-needle-biopsy-fnb-for-endoscopic-ultrasound-guided-sampling-of-pancreatic-lesions-a-prospective-comparison-study
#14
Li Tian, An-Liu Tang, Lei Zhang, Xiao-Wen Liu, Jing-Bo Li, Fen Wang, Shou-Rong Shen, Xiao-Yan Wang
BACKGROUND: To compare the diagnostic yield and safety of 22G endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) and endoscopic ultrasound-guided fine-needle biopsy (EUS-FNB) in the diagnosis of pancreatic solid lesions. METHODS: Between April 2014 and September 2015, 36 patients with pancreatic solid lesions were included for endoscopic ultrasound test. Patients were randomly divided into two groups: EUS-FNA (n = 18) and EUS-FNB (n = 18). Each nidus was punctured three times (15 ~ 20 insertions for each puncture) with a 22G needle...
February 5, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29401169/per-pass-performance-characteristics-of-endoscopic-ultrasound-guided-fine-needle-aspiration-of-malignant-solid-pancreatic-masses-in-a-large-multicenter-cohort
#15
Phillip S Ge, Sachin Wani, Rabindra R Watson, Alireza Sedarat, Stephen Kim, Carrie Marshall, Robert H Wilson, Jitin Makker, Mehdi Mohamadnejad, Srinadh Komanduri, V Raman Muthusamy
OBJECTIVES: Endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) is widely performed for the evaluation of pancreatic masses. We evaluated the performance characteristics of EUS-FNA in obtaining a diagnosis of pancreatic malignancy. METHODS: We performed a multicenter study of patients who underwent EUS-FNA for a solid pancreatic mass. Endoscopic ultrasound-guided FNA was standardized using a 25-gauge needle, slow-pull stylet technique for specimen acquisition, and on-site cytopathology...
February 2, 2018: Pancreas
https://www.readbyqxmd.com/read/29394809/-a-case-of-pancreatic-cancer-with-multiple-lymph-node-swelling-caused-by-sarcoidosis
#16
Tadahiro Goto, Hirochika Toyama, Sadaki Asari, Sachio Terai, Hideyo Mukubou, Sachiyo Shirakawa, Yoshihide Nanno, Takuya Mizumoto, Hisoka Kinoshita, Motofumi Tanaka, Masahiro Kido, Tetsuo Ajiki, Takumi Fukumoto, Yonson Ku
A 69-year-old woman who was identified the tumor of the pancreas tail by CT scan for postoperative inspection of breast cancer. Pancreas tail cancer with para-aortic lymph node metastases was diagnosed by close inspection. She consulted a different hospital to receive their second opinion. She was diagnosed of sarcoidosis from points with lymphadenopathy in hilar region and para-aorta for 3 years and uveitis. The patient was referred to our institution for treatment. We performed distal pancreatectomy in March, 2014...
November 2017: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/29394794/-a-resected-case-of-castleman-s-disease-that-was-difficult-to-diagnose-preoperatively
#17
Kenji Sakai, Marie Toudou, Yuuhi Shimura, Reyugo Teranishi, Shouhei Takaichi, Chihyon Son, Tomofumi Ohhashi, Hideki Osawa, Hiroshi Noro, Keigo Yasumasa, Takafumi Hirao, Teruo Iwasaki, Yoshikazu Morimoto, Nobutaka Hatanaka, Yoshio Yamasaki
A 70-year-old man was referred to our hospital and admitted after abdominal computed tomography(CT)examination revealed a tumor in the retroperitoneum. The specific blood test findings were poor, and surveillance CT demonstrated a wellcircumscribed, enhanced mass measuring 40mm with calcification behind the horizontal portion of the duodenum. The tumor presented with a slightly high signal in low signal, T2 in T1, and it showed a diffusion decrease in DWI; the simple abdominal MRIrevealed heterogeneous accumulation of SUVmax 3...
November 2017: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/29394755/-radical-resection-of-huge-gastrointestinal-stromal-tumor-of-the-stomach-following-neoadjuvant-chemotherapy-with-lmatinib-acase-report
#18
Yoko Hiraki, Hiroaki Kato, Osamu Shiraishi, Yumiko Tanaka, Mitsuru Iwama, Atsushi Yasuda, Masayuki Shinkai, Yutaka Kimura, Motohiro Imano, Haruhiko Imamoto, Takushi Yasuda
The usefulness and safety of imatinibfor neoadjuvant chemotherapy for resectable gastrointestinal stromal tumor(GIST) has not been established. We reported a case of a huge GIST of the stomach that was safely resected following preoperative imatinibtherapy. A 69-year-old man was hospitalized with abdominal fullness which increased rapidly from a month ago. A CT scan showed a huge tumor containing solid and cystic component which was accompanied by an extra-wall nodule. The tumor was strongly suspected to be originated from the stomach and EUS-FNA revealed GIST...
November 2017: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/29394613/-a-case-report-of-gastric-carcinoma-with-lymphoid-stroma-differentially-diagnosed-from-malignant-lymphoma
#19
Kazuto Yamada, Toshiyuki Kosuga, Kazuma Okamoto, Hirotaka Konishi, Atsushi Shiozaki, Hitoshi Fujiwara, Ryo Morimura, Yasutoshi Murayama, Yoshiaki Kuriu, Hisashi Ikoma, Masayoshi Nakanishi, Junya Kuroda, Mitsuo Kishimoto, Eiichi Konishi, Eigo Otsuji
A 49-year-old man was referred to our hospital for close examination of a submucosal tumor with ulceration located in the upper gastric body. PET-CT showed FDG uptake both in the gastric tumor and an enlarged lymph node. Although routine biopsies and EUS-FNA of this tumor did not demonstrate any malignant findings, he underwent excisional biopsy of the enlarged lymph nodes to rule out malignant lymphoma. Histopathological examination revealed that the excised specimens were metastatic nodes of poorly differentiated carcinoma probably from the known gastric tumor...
November 2017: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/29392646/postoperative-recurrence-from-tract-seeding-after-use-of-eus-fna-for-preoperative-diagnosis-of-cancer-in-pancreatic-tail
#20
Utae Sakamoto, Nobuhiko Fukuban, Shunji Ishihara, Shohei Sumi, Mayumi Okada, Hiroki Sonoyama, Naoki Ohshima, Ichiro Moriyama, Kousaku Kawashima, Yoshikazu Kinoshita
A 50-year-old male underwent abdominal computed tomography at a city hospital in Japan, which revealed a tumor 38 mm in diameter in the tail of the pancreas. Based on findings from endoscopic ultrasonography-guided fine needle aspiration using a 22-gauge needle with a side hole, the tumor was diagnosed as an invasive ductal carcinoma. The patient was referred to our hospital and underwent a distal pancreatectomy. Esophagogastroduodenoscopy performed as part of a medical checkup at another hospital 2 years later revealed a 20-mm-sized submucosal tumor in the posterior wall of the upper body of the stomach...
February 1, 2018: Clinical Journal of Gastroenterology
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