Su1253 SAFETY AND EFFICACY OF ENDOSOPIC ULTRASOUND GUIDED RANDOM LIVER BIOPSY IN COMPARISON WITH TRANSJUGULAR AND PERCUTANEOUS APPROACHES: A SINGLE-CENTER EXPERIENCE

Abstract

Subgroup analysis revealed a decreasing trend in pancreatic cyst aspiration (-0.55 [-0.80 to-0.30], p <0.001). No significant trend was identified on use of FNA for pancreatic masses (0.20 [95%CI-0.17 to 0.56]), esophageal lesions (-0.05 [95%CI-0.40 to 0.30]) or rectal lesions (-0.74 [95%CI-1.93 to 0.45]) (pZ0.29, 0.779, and 0.225 respectively) (Figure 1). An increase in celiac plexus block or neurolysis was seen during the time period evaluated (regression coefficient 0.75 [0.42 to 1.07], p<0.001). Conclusion: Despite an overall increase in FNA utilization in EUS procedures, there was a decreasing trend in pancreatic cyst aspiration. We hypothesize this is secondary to better management and radiological modalities for surveillance of pancreatic low risk lesions. Celiac plexus injection rate remained the same overtime. Efforts to limit these procedures to a select patient population should continue.