High yield of same-session EUS-guided liver biopsy by 19-gauge FNA needle in patients undergoing EUS to exclude biliary obstruction

Stavropoulos, Stavros N.; Im, Gene Y.; Jlayer, Zahra; Harris, Michael D.; Pitea, Teodor C.; Turi, George K.; Malet, Peter F.; Friedel, David; Grendell, James H.

doi:10.1016/j.gie.2011.09.043

Cited by 110 publications

(92 citation statements)

References 57 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In our series, we have not only included lymph nodes from various locations (obtaining a similar accuracy with less passes), but also 33 pancreatic lesions. Larghi et al (30) developed a technique for tissue acquisition by removing the stylet before needle insertion into the EUS working channel to increase flexibility. With this method adequate samples were obtained in 97.5 % of the cases (similar to the present study), being successful in 98.9 %, and with an overall accuracy over 90 %.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Evaluation of the adequacy and diagnostic accuracy of the histology samples obtained with a newly designed 19-gauge EUS histology needle

Iglesias‐García

Abdulkader

Lariño‐Noia

et al. 2014

Rev. esp. enferm. dig.

View full text Add to dashboard Cite

Background: Endoscopic ultrasound (EUS)-guided fine needle aspiration (FNA) is an accurate technique for sampling intraintestinal and extraintestinal lesions. However, cytology possesses certain limitations, which may be overcome if histological specimens are provided to the pathologist.Aim: The aim of the study was to evaluate the accuracy of a newly developed 19G histology needle.Methods: Retrospective analysis of a prospectively collected data base including patients who underwent EUS-guided biopsy with the 19G ProCore TM histology needle for the evaluation of intraintestinal or extraintestinal lesions. Samples were obtained after one needle pass, recovered into ThinPrep ® and processed for histological analysis. Results were compared to the gold standard of surgical histopathology, or global pathological, clinical and radiological assessment, and follow-up in non-operated cases. Results are shown as mean ± SD. Percentage of optimal samples for histological evaluation and the overall diagnostic accuracy were evaluated.Results: 87 patients (mean age 62.9 years, range 25-88 years, 36 woman) were included. Lesions mean size was 41.6 ± 21.3 mm. 66 lesions (75.9 %) were considered as malignant and 21 (24.1 %) as benign. EUS-guided biopsy was feasible in all cases (100 %). Sample quality was adequate for histological assessment in 82 lesions (94.2 %). In the remaining cases the sample was adequate for cell-block evaluation. Sensitivity, specificity, PPV, NPV, and overall accuracy for malignancy were 93.4 %, 100 %, 100 %, 84 %, and 95.4 %, respectively. There were no complications related to the procedure. Conclusion:The EUS-guided biopsy with the 19G histology needle provides with an optimal core sample for histological evaluation allowing a high histopathologic diagnostic accuracy.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Various EUS-guided techniques have been explored to retrieve tissue specimens, including FNA and Tru-Cut needles, with variable success and complication rates (25)(26)(27)(28)(29)(30)(31)(32). of particular interest is the quick-Core ® needle, designed to operate through an echoendoscope.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the adequacy and diagnostic accuracy of the histology samples obtained with a newly designed 19-gauge EUS histology needle

Iglesias‐García

Abdulkader

Lariño‐Noia

et al. 2014

Rev. esp. enferm. dig.

View full text Add to dashboard Cite

show abstract

“…[8][9][10][11]20,21 One outcome used in previous EUS studies to assess the adequacy of a liver biopsy is the number of complete portal tracts per millimeter. However, this may not be an ideal outcome because the number of complete portal tracts may be influenced by the underlying liver disease itself rather than the liver biopsy technique.…”

Section: Discussionmentioning

confidence: 99%

“…However, 2 recent small case series that used a 19-gauge FNA needle reported a histologic diagnostic rate exceeding 90%. 10,11 Since the publication of our original study, the ProCore (PC) needle (Cook Medical) has been developed as an alternative to the QC needle, although both are currently commercially available. The utility of the PC needle compared with the QC needle has not been described.…”

mentioning

confidence: 99%

EUS-guided liver biopsy for parenchymal disease: a comparison of diagnostic yield between two core biopsy needles

Sey

Al‐Haddad

Imperiale

et al. 2016

Gastrointestinal Endoscopy

View full text Add to dashboard Cite

“…In general, the lowest ultrasound frequency available should be used to maximize penetration. EUS-guided liver biopsy using a 19-gauge FNA needle (non-Trucut) and EUS-guided Trucut needle appear to be feasible, safe and provide excellent diagnostic yield and specimen adequacy [1][2][3] . In a retrospective study by DeWitt et al [4] , EUS-FNA of liver lesions that range from 3-40 mm in size was performed in 77 patients [4] .…”

Section: Feasibility Of Endoscopic Ultrasound-guided Fine Needle Aspimentioning

confidence: 99%

Usefulness of endoscopic ultrasound-guided fine needle aspiration in the diagnosis of hepatic, gallbladder and biliary tract Lesions

Hammoud

Almashhrawi

Ibdah

2014

WJGO

View full text Add to dashboard Cite

cholangiocarcinoma" and "EUS and gallbladder" to retrieve articles published between 1999 to 2014.Hammoud GM, Almashhrawi A, Ibdah JA. Usefulness of endoscopic ultrasound-guided fine needle aspiration in the diagnosis of hepatic, gallbladder and biliary tract Lesions. World J Gastrointest Oncol 2014; 6(11): 420-429 Available from: URL: http://www.wjgnet.com/1948-5204/full/v6/i11/420.htm DOI: http://dx.doi.org/10.4251/wjgo.v6.i11.420 INTRODUCTIONEndoscopic ultrasonography (EUS) has become an indispensable diagnostic and therapeutic procedure in the field of gastroenterology coupling endoscopy with high frequency echo sonography. Endoscopic ultrasoundguided fine needle aspiration (EUS-FNA) is performed using the curved linear array echoendoscope (Figure 1) using various needles (Figure 2). The recently introduced forward viewing linear echoendoscope is gaining momentum in endoscopic ultrasound-guided interventions (Figure 1). EUS-FNA is minimally invasive that is utilized for procurement of tissue from unresectable tumors. EUS-guided fine needle aspiration is used increasingly for the diagnosis of mediastinal, pancreatic and gastric tumors, however, not much is known about EUS-FNA in hepatic lesions. EUS imaging of the liver is currently limited to the left lobe, the proximal right lobe, the hilum and part of the intrahepatic biliary tract. EUS-FNA may be considered as an alternative to liver percutaneous biopsy in patients at high risk of bleeding or with small lesions of the liver uncharacterized by cross-sectional abdominal imaging. EUS-guided biliary drainage (EUS-BD) was developed using a curved linear array echoendoscope for cases with failed endoscopic biliary drainage. Table 1 AbstractEndoscopic ultrasound (EUS)-guided fine needle aspiration (FNA) of the liver is a safe procedure in the diagnosis and staging of hepatobiliary malignancies with a minimal major complication rate. EUS-FNA is useful for liver lesions poorly accessible to other imaging modalities of the liver. EUS-guided FNA of biliary neoplasia and malignant biliary stricture is superior to the conventional endoscopic brushing and biopsy.

show abstract

High yield of same-session EUS-guided liver biopsy by 19-gauge FNA needle in patients undergoing EUS to exclude biliary obstruction

Cited by 110 publications

References 57 publications

Evaluation of the adequacy and diagnostic accuracy of the histology samples obtained with a newly designed 19-gauge EUS histology needle

Evaluation of the adequacy and diagnostic accuracy of the histology samples obtained with a newly designed 19-gauge EUS histology needle

EUS-guided liver biopsy for parenchymal disease: a comparison of diagnostic yield between two core biopsy needles

Usefulness of endoscopic ultrasound-guided fine needle aspiration in the diagnosis of hepatic, gallbladder and biliary tract Lesions

Contact Info

Product

Resources

About