Technical feasibility, diagnostic yield, and safety of microforceps biopsies during EUS evaluation of pancreatic cystic lesions (with video)

Mittal, Chetan; Obuch, Joshua C.; Hammad, Hazem; Edmundowicz, Steven A.; Wani, Sachin; Shah, Raj J.; Brauer, Brian C.; Attwell, Augustin; Kaplan, Jeffrey B.; Wagh, Mihir S.

doi:10.1016/j.gie.2017.12.025

Cited by 67 publications

(72 citation statements)

References 18 publications

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“…# 240, Yokneam 2069204, Israel) through a 19‐gauge EUS needle in two patients with pancreatic cystic lesions . Since then, several case reports have been published using different micro‐forceps for a total of 14 cases described and, recently, a small, single center, retrospective study …”

Section: Discussionmentioning

confidence: 99%

“…Since 2010, several case reports using different micro‐forceps working through a 19‐gauge EUS needle, and a recently published, small, single‐center, retrospective study, have shown encouraging results on the possibility of sampling of PCL cystic walls.…”

Section: Introductionmentioning

confidence: 99%

“…Direct sampling of the cystic wall with different devices has shown better results. [15][16][17][18][19] Since 2010, several case reports [20][21][22][23][24][25][26][27] using different micro-forceps working through a 19-gauge EUS needle, and a recently published, small, single-center, retrospective study, 28 have shown encouraging results on the possibility of sampling of PCL cystic walls.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Endoscopic ultrasound‐through‐the‐needle biopsy in pancreatic cystic lesions: A multicenter study

Barresi

Crinò

Fabbri

et al. 2018

Digestive Endoscopy

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Endoscopic ultrasound‐through‐the‐needle biopsy in pancreatic cystic lesions: A multicenter study

Barresi

Crinò

Fabbri

et al. 2018

Digestive Endoscopy

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“…carried out EUS‐TTNB in 31 consecutive patients with pancreatic cystic lesions and reported that clinical management was changed in six out of the 31 (19.4%) patients as a result of this evaluation. In some cases, the diagnosis could not be obtained using EUS‐TTNB but could be obtained by cytology or cyst fluid evaluation; therefore, it may be important to diagnose using not just one but both of these methods together …”

Section: Methodsmentioning

confidence: 99%

Endoscopic diagnosis of cystic lesions of the pancreas

Kamata

Kitano

2018

Digestive Endoscopy

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Endoscopic methods are increasingly used in the diagnosis of cystic lesions of the pancreas. The two major endoscopic approaches are endoscopic ultrasonography (EUS) and transpapillary diagnosis. EUS-guided fine-needle aspiration cytology and EUS-guided fine needle-based confocal laser endomicroscopy have been used in the differential diagnosis of mucinous and non-mucinous pancreatic cysts. EUS is the most sensitive modality for detecting mural nodules (MN) in intraductal papillary mucinous neoplasms (IPMN). Contrast-enhanced harmonic EUS (CH-EUS), as an add-on to EUS, is useful for identifying and characterizing MN. Recent studies show that CH-EUS has a sensitivity of 60-100% and a specificity of 75-92.9% for diagnosing malignant cysts. Intraductal ultrasonography and peroral pancreatoscopy are especially useful for detecting MN and IPMN. A recent meta-analysis showed that cytological assessment of pancreatic juice using a transpapillary approach had a pooled sensitivity, specificity, and accuracy of 35.1%, 97.2%, and 92.9%, respectively, for diagnosing malignant IPMN. Further studies are warranted to determine the indications for each of these novel techniques in assessing cystic lesions of the pancreas.

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“…reported a multicenter study of EUS‐TTNB for PCL with a technical success rate of 100% and an adequate histological specimen rate of 83.9% . Of note, the degree of dysplasia (mild or moderate) and stroma could be evaluated using EUS‐TTNB specimen, which have been increasingly reported …”

mentioning

confidence: 99%