Slow-Pull Using a Fanning Technique Is More Useful Than the Standard Suction Technique in EUS-Guided Fine Needle Aspiration in Pancreatic Masses
DC Field | Value | Language |
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dc.contributor.author | Lee, Jae Min | - |
dc.contributor.author | Lee, Hong Sik | - |
dc.contributor.author | Hyun, Jong Jin | - |
dc.contributor.author | Lee, Jung Min | - |
dc.contributor.author | Yoo, In Kyung | - |
dc.contributor.author | Kim, Seung Han | - |
dc.contributor.author | Choi, Hyuk Soon | - |
dc.contributor.author | Kim, Eun Sun | - |
dc.contributor.author | Keum, Bora | - |
dc.contributor.author | Seo, Yeon Seok | - |
dc.contributor.author | Jeen, Yoon Tae | - |
dc.contributor.author | Chun, Hoon Jai | - |
dc.contributor.author | Um, Soon Ho | - |
dc.contributor.author | Kim, Chang Duck | - |
dc.date.available | 2020-11-02T07:41:15Z | - |
dc.date.issued | 2018-05 | - |
dc.identifier.issn | 1976-2283 | - |
dc.identifier.issn | 2005-1212 | - |
dc.identifier.uri | https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/3625 | - |
dc.description.abstract | Background/Aims: Endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) is useful for obtaining pancreatic mass samples. The combination of modified techniques (i.e., slow-pull technique and fanning technique) may improve the quality of the sample obtained by EUS-FNA. We investigated the effectiveness of a combined slow-pull fanning technique in EUS-FNA for pancreatic mass. Methods: This prospective comparative study investigated EUS-FNA performed for pancreatic solid masses between August 2015 and July 2016. Pairwise specimens were alternately obtained using the following two techniques for targeted pancreatic lesions: standard suction or slow-pull with fanning. We compared the specimen quality, blood contamination, and diagnostic accuracy of these techniques. Results: Forty-eight consecutive patients were included (29 men; mean age, 68.1 +/- 11.9 years), and 96 pancreatic mass specimens were obtained. The slow-pull with fanning technique had a significantly superior diagnostic accuracy than the suction technique (88% vs 71%, p=0.044). Furthermore, blood contamination was significantly reduced using the slow-pull with fanning technique (ratio of no or slight contamination, 77% vs 56%, p=0.041). No difference was observed in the acquisition of adequate cellularity between the groups. In the subgroup analysis, the tumor size and sampling technique were related to the EUSFNA diagnostic accuracy. Conclusions: The slow-pull with needle fanning technique showed a good diagnostic yield for EUS-FNA for pancreatic mass. This technique can be useful for performing [US-guided sampling for diagnosing pancreatic disease. | - |
dc.format.extent | 7 | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | EDITORIAL OFFICE GUT & LIVER | - |
dc.title | Slow-Pull Using a Fanning Technique Is More Useful Than the Standard Suction Technique in EUS-Guided Fine Needle Aspiration in Pancreatic Masses | - |
dc.type | Article | - |
dc.publisher.location | 대한민국 | - |
dc.identifier.doi | 10.5009/gnl17140 | - |
dc.identifier.scopusid | 2-s2.0-85048706993 | - |
dc.identifier.wosid | 000436519700020 | - |
dc.identifier.bibliographicCitation | GUT AND LIVER, v.12, no.3, pp 360 - 366 | - |
dc.citation.title | GUT AND LIVER | - |
dc.citation.volume | 12 | - |
dc.citation.number | 3 | - |
dc.citation.startPage | 360 | - |
dc.citation.endPage | 366 | - |
dc.type.docType | Article | - |
dc.identifier.kciid | ART002346793 | - |
dc.description.isOpenAccess | Y | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.description.journalRegisteredClass | kci | - |
dc.relation.journalResearchArea | Gastroenterology & Hepatology | - |
dc.relation.journalWebOfScienceCategory | Gastroenterology & Hepatology | - |
dc.subject.keywordPlus | DIAGNOSTIC-ACCURACY | - |
dc.subject.keywordPlus | CONTROLLED-TRIAL | - |
dc.subject.keywordPlus | SOLID LESIONS | - |
dc.subject.keywordPlus | ENDOSCOPIC ULTRASONOGRAPHY | - |
dc.subject.keywordPlus | RANDOMIZED-TRIAL | - |
dc.subject.keywordPlus | BIOPSY NEEDLE | - |
dc.subject.keywordPlus | FNA | - |
dc.subject.keywordPlus | 22-GAUGE | - |
dc.subject.keywordPlus | METAANALYSIS | - |
dc.subject.keywordPlus | STYLET | - |
dc.subject.keywordAuthor | Pancreas | - |
dc.subject.keywordAuthor | Endosonography | - |
dc.subject.keywordAuthor | Biopsy, fine-needle | - |
dc.subject.keywordAuthor | Technique | - |
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