399 Endoscopic Ultrasound Guided Liver Biopsy Using a 22 Guage Fine Needle Biopsy Needle: A Prospective Study.

Hasan, Muhammad; Idrisov, Evgeny; Kadkhodayan, Kambiz; Rafiq, Ehsan; Navaneethan, Udayakumar; Bang, Ji Young; Hawes, Robert H.; vardarajulu, Shyam

doi:10.1016/j.gie.2018.04.067

Cited by 1 publication

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“…There was significantly higher technical difficulty for performing EUS-LB from the right 22 versus left lobe 22 ; P = 0.001.…”

Section: Resultsmentioning

confidence: 98%

“…Another limitation of this study was the use of a 22G needle, which was selected based on the data that were available at the time the study was designed, which showed that a 22G needle was a safer alternative for liver biopsy with diagnostic yield equal to that for larger needles 22 . Using a larger 19G needle could have provided longer core tissue and more portal tracts.…”

Section: Discussionmentioning

confidence: 99%

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EUS-guided left lobe liver biopsy: Safer modality with similar diagnostic yield as right lobe: a pilot study

Sharma

Jagtap

et al. 2022

Endosc Int Open

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Background and Study Aims: Percutaneous liver biopsy is traditionally done from right-lobe of liver. Endoscopic-ultrasound guided liver biopsy (EUS-LB) can be performed from either left- or the right-lobe or combined bi-lobar biopsy. Earlier studies did not compare benefit of bi-lobar biopsies to single lobe biopsy for reaching a tissue diagnosis. The current study compares the degree of agreement of pathological diagnosis between left-lobe of liver compared to right- and with bi-lobar biopsy. Patients and Methods: Fifty patients fulfilling the inclusion criteria were enrolled in the study. EUS-LB with 22G core needle was taken separately from both the liver lobes. Three pathologists, who were blinded to the site of biopsy independently reviewed the liver biopsies. Sample adequacy, safety, and concordance of pathological diagnosis between left- and right lobe biopsy of liver were analyzed. Results: The pathological diagnosis was made in 96% patients. Specimen length from the left-lobe and the right-lobe were 2.31  0.57cms and 2.28  0.69cms respectively (p-value = 0.476). The respective number of portal tracts were 11.84  6.71 versus 9.58  7.14; p-value= 0.106. Diagnosis between the two lobes showed substantial (Kappa value  0.830) concordance. Left-lobe ( value 0.878) or the right-lobe ( value 0.903) biopsies showed no difference when compared with bi-lobar biopsies. Adverse events were observed in 2 patients, both in biopsy from right-lobe. Conclusions: EUS guided left lobe liver biopsy is more safer to right lobe biopsies with similar diagnostic yield.

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“…There was significantly higher technical difficulty for performing EUS-LB from the right 22 versus left lobe 22 ; P = 0.001.…”

Section: Resultsmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

EUS-guided left lobe liver biopsy: Safer modality with similar diagnostic yield as right lobe: a pilot study

Sharma

Jagtap

et al. 2022

Endosc Int Open

View full text Add to dashboard Cite

show abstract

399 Endoscopic Ultrasound Guided Liver Biopsy Using a 22 Guage Fine Needle Biopsy Needle: A Prospective Study.

Cited by 1 publication

References 0 publications

EUS-guided left lobe liver biopsy: Safer modality with similar diagnostic yield as right lobe: a pilot study

EUS-guided left lobe liver biopsy: Safer modality with similar diagnostic yield as right lobe: a pilot study

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