Biliary plastic stent does not influence the accuracy of endoscopic ultrasound-guided sampling of pancreatic head masses performed with core biopsy needles

Antonini, Filippo; Fuccio, Lorenzo; Giorgini, Sara; Fabbri, Carlo; Frazzoni, Leonardo; Scarpelli, Marina; Macarri, Giampiero

doi:10.1016/j.dld.2017.04.007

Cited by 15 publications

(29 citation statements)

References 25 publications

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“…In a meta‐analysis of 33 studies including 4984 patients with solid pancreatic neoplasms, EUS‐FNA had a pooled sensitivity of 85% (95% CI 84%‐86%), and a pooled specificity of 98% (95% CI 97%‐99%) for diagnosing malignancies . Additionally, the diagnostic yield of EUS‐guided sampling for pancreatic head lesion does not appeared to be affected by existed biliary stents . In a retrospective cohort study, a total of 677 patients with solid pancreatic head or uncinate lesions and previous biliary stenting underwent evaluation with EUS‐FNA.…”

Section: Resultsmentioning

confidence: 99%

Review article: Asia‐Pacific consensus recommendations on endoscopic tissue acquisition for biliary strictures

Sun¹,

Lee

Cai

et al. 2018

Aliment Pharmacol Ther

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Section: Resultsmentioning

confidence: 99%

Review article: Asia‐Pacific consensus recommendations on endoscopic tissue acquisition for biliary strictures

Sun¹,

Lee

Cai

et al. 2018

Aliment Pharmacol Ther

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“…As in the Fisher study [11], only FNA was used and suspicious cytology was classified as a true positive. Recently, Antonini et al [9] reported on a study investigating the effect of the presence of plastic stents on sampling with reverse-bevel needles in a cohort of 130 patients (74 without and 56 with a stent); ROSE was available for 23 % of the procedures. Adequacy of tissue was defined as a tissue specimen suitable for cytological examination.…”

Section: Discussionmentioning

confidence: 99%

Impact of metal and plastic stents on endoscopic ultrasound-guided aspiration cytology and core histology of head of pancreas masses

et al. 2019

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Background Stents are frequently placed in patients with biliary obstruction due to a mass in the head of the pancreas. The impact of plastic or self-expandable metal stents (SEMSs) on endoscopic ultrasound (EUS)-guided tissue sampling is unclear. This study aimed to assess, using strict pathological criteria, whether stents impair fine-needle aspiration (FNA) or fine-needle biopsy (FNB). Methods All patients with a solid mass in the head of the pancreas who underwent EUS-guided tissue sampling between 2010 and 2016 at our unit were included. Factors with possible impact on diagnostic performance were analyzed using logistic regression. Analysis was performed using both strict (malignant only) and less strict (suspicious for malignancy) cutoffs. Results Of 631 individuals undergoing 698 procedures, 535 (84.8 %) had a final diagnosis of malignancy, 141 had SEMS, 149 had plastic stents, and 341 had no stent. Using strict criteria, SEMS were associated with an increased occurrence of incorrect diagnosis of EUS tissue sampling, with an odds ratio (OR) of 1.96 (95 % confidence interval [CI] 1.24 – 3.10). Increasing tumor size (OR 0.72, 95 %CI 0.59 – 0.87), increasing number of passes (OR 0.84, 95 %CI 0.72 – 0.99), and fork-tip biopsy needle (OR 0.52, 95 %CI 0.31 – 0.86) were independently associated with a decrease in incorrect diagnosis. Repeat tissue sampling was more common with SEMSs (10.2 %) than with plastic stents (2.9 %) or no stents (4.5 %) (P < 0.02). Conclusion SEMS use had a negative impact on tissue diagnosis in pancreatic head masses, whereas use of a fork-tip biopsy needle and increasing number of passes were independently associated with improved accuracy.

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“…[ 37 ] A contradicting, retrospective study, determined the presence of biliary stent does not influence the tissue sampling adequacy and accuracy of pancreatic head masses performed with core biopsies (FNB). [ 38 ] A combined approach of EUS and ERCP with biliary stenting, under the same sedation, yielded a 25 min increase in procedure length when compared to separate procedures but similar high yields for diagnostic EUS. A trend toward lower biliary stent placement success rates with combined EUS/ERCP was noted but nonsignificant.…”

Section: When Bile Duct Obstruction Is Present Should Eus Be Systemamentioning

confidence: 99%

A proposal for the ideal algorithm for the diagnosis, staging, and treatment of pancreas masses suspicious for pancreatic adenocarcinoma: Results of a working group of the Canadian Society for Endoscopic Ultrasound

et al. 2020

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Biliary plastic stent does not influence the accuracy of endoscopic ultrasound-guided sampling of pancreatic head masses performed with core biopsy needles

Cited by 15 publications

References 25 publications

Review article: Asia‐Pacific consensus recommendations on endoscopic tissue acquisition for biliary strictures

Review article: Asia‐Pacific consensus recommendations on endoscopic tissue acquisition for biliary strictures

Impact of metal and plastic stents on endoscopic ultrasound-guided aspiration cytology and core histology of head of pancreas masses

A proposal for the ideal algorithm for the diagnosis, staging, and treatment of pancreas masses suspicious for pancreatic adenocarcinoma: Results of a working group of the Canadian Society for Endoscopic Ultrasound

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