Yield of Tissue Sampling for Submucosal Lesions Evaluated by EUS: A Comparison Between Forceps Biopsies and Endoscopic Submucosal-Mucosal Resection

Cantor, Michael J.; Davila, Raquel E.; Faigel, Douglas O.

doi:10.1016/s0016-5107(04)01055-7

Cited by 3 publications

(4 citation statements)

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“…The diagnostic yield with standard sized biopsy forceps is recognised as very low when assessing submucosal lesions. 3 However, there is some evidence that this diagnostic yield might be increased to 17-38% by using a repeated "bite on bite" technique with larger capacity forceps. 3 Methods We evaluated the diagnostic yield and safety of "bite on bite" tunnelled biopsy in diagnosing submucosal lesions found on upper gastro-intestinal endoscopy.…”

Section: Pwe-034mentioning

confidence: 99%

“…3 However, there is some evidence that this diagnostic yield might be increased to 17-38% by using a repeated "bite on bite" technique with larger capacity forceps. 3 Methods We evaluated the diagnostic yield and safety of "bite on bite" tunnelled biopsy in diagnosing submucosal lesions found on upper gastro-intestinal endoscopy. Data from 30 patients who underwent tunnelled biopsy was prospectively collected over an 18 month period.…”

Section: Pwe-034mentioning

confidence: 99%

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PWE-034 Diagnostic Yield and Safety of ‘Bite on Bite’ Tunneled Biopsy for Sampling of Upper Gastro-Intestinal Submucosal Lesions

Evans

Halketson

Ismail

et al. 2013

Gut

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Section: Pwe-034mentioning

confidence: 99%

Section: Pwe-034mentioning

confidence: 99%

PWE-034 Diagnostic Yield and Safety of ‘Bite on Bite’ Tunneled Biopsy for Sampling of Upper Gastro-Intestinal Submucosal Lesions

Evans

Halketson

Ismail

et al. 2013

Gut

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“…Технические проблемы во время осуществления этой манипуляции нередко связаны со сложностью аспирации образца относительно плотной ткани, особенно при небольших или «неудобно» расположенных опухолях. По мнению некоторых авторов, серьезной проблемой при выполнении тонкоигольной пункции является сложность получения достаточного количества материала, необходимого для проведения полноценного морфологического исследования, включая ИГХ [23,29]. Именно поэтому существует точка зрения о нецелесообразности предоперационной биопсии, если диагноз и необходимость удаления НЭпО не вызывают сомнения [16].…”

Section: Introductionunclassified

Diagnosis and immediate results of treatment of patients with non-epithelial tumors of upper gastrointestinal tract

Shapoval'jants

Goluhov

Plahov

et al. 2015

Khir. Z. im. N.I. Pirogova

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We presented an experience of treatment of 225 patients with non-epithelial tumors of upper gastrointestinal tract. Complicated disease's course was observed in 24% of cases. Tactical approaches are discussed depending on localization, dimensions and nature of tumor growth. Also indications for minimally invasive operations are defined. It was operated 102 (45.3%) of above-mentioned patients. Conventional surgical interventions were performed in 49 (48.0%) cases, laparoscopic operations - in 11 (10.8%) observations, endoscopic techniques using flexible endoscope - in 42 (41.2%) patients. One hundred and twenty-three (54.7%) patients were under dynamic observation. Technical features of the performed operations are described in the article. Complications were diagnosed in 8 patients including intraoperative in 3 cases and postoperative in 5 cases. Postoperative mortality was 2.0% (2 of 102 died). Overall mortality was 1.3% (3 of 225 patients died). Gastrointestinal stromal tumor (38) and leiomyoma (29) were the most frequent findings among removed tumors.

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“…Endoscopic ultrasound guided fine needle aspiration (EUS-FNA) and endoscopic submucosal resection (ESMR) are useful diagnostic investigations for the assessment of such submucosal lesions with studies reporting diagnostic yields of 42% -92% and 87% respectively. 1,2,3 However, access to these techniques is usually limited to PWE-034 specialist centres and they can have complications, with bleeding rates for ESMR ranging from 0-24% 3 . The diagnostic yield with standard sized biopsy forceps is recognised as very low when assessing submucosal lesions.…”

mentioning

confidence: 99%

PWE-035 The Introduction of a Weekly General Anaesthetic Ercp List Improves Desired Duct Cannulation and Duct Drainage Rates

Neale

Ellis

Goggin

et al. 2013

Gut

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BSG abstracts that traditionally quoted (1). The true complication rate of flexible sigmoidoscopy is of particular importance as the UK is introducing the Bowel Cancer Screening Programme (BCSP) by which all citizens will be offered the procedure at age 55. Methods The aim of this study was to identify the morbidity and related healthcare costs of unexpected hospital attendance following outpatient flexible sigmoidoscopy. An observational study of A&E attendances and admissions occurring within 14 days of all outpatient flexible sigmoidoscopies which took place in 2011 was conducted. All procedures took place at West Middlesex University Hospital, London. Data was collected using the hospital's electronic records system, enterpriseCAMIS®. Cases were analysed to assess whether reattendance could be attributed to the procedure, and healthcare costs were determined. Results Of the 1137 outpatient flexible sigmoidoscopies performed, 18 patients (1.58%) presented to A&E within 14 days. Only 2 of these attendances were thought to be related to the procedure (0.18%). 1 case resulted in a 5 day admission due to bleeding post polypectomy. The second A&E attendance was also due to bleeding. The cost of the above admission was £4,682. Including the related A&E attendance, the total financial burden of related reattendance following flexible sigmoidoscopy was approximately £4,827 in 2011. This equates to an additional cost of £4.25 per procedure.

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Yield of Tissue Sampling for Submucosal Lesions Evaluated by EUS: A Comparison Between Forceps Biopsies and Endoscopic Submucosal-Mucosal Resection

Cited by 3 publications

References 0 publications

PWE-034 Diagnostic Yield and Safety of ‘Bite on Bite’ Tunneled Biopsy for Sampling of Upper Gastro-Intestinal Submucosal Lesions

PWE-034 Diagnostic Yield and Safety of ‘Bite on Bite’ Tunneled Biopsy for Sampling of Upper Gastro-Intestinal Submucosal Lesions

Diagnosis and immediate results of treatment of patients with non-epithelial tumors of upper gastrointestinal tract

PWE-035 The Introduction of a Weekly General Anaesthetic Ercp List Improves Desired Duct Cannulation and Duct Drainage Rates

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