Endoscopic Ultrasound-Guided Fine-Needle Biopsy for Pancreatic Lesions is the Way Forward: Here is the Evidence!

IF 0.4 Q4 GASTROENTEROLOGY & HEPATOLOGY

Journal of Digestive Endoscopy Pub Date : 2022-09-01 DOI:10.1055/s-0042-1748493

D. Jha, S. Rana

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引用次数: 0

Abstract

Endoscopic ultrasound-guided tissue acquisition (EUS TA) has increasingly become imperative for pancreatic pathology in arriving at the correct diagnosis because of its simplicity, cost-effectiveness, and availability at high-volume centers. The advent of EUS fine-needle biopsy (FNB) has revolutionized EUS TA by providing samples that are larger and more diagnostic compared with fine-needle aspiration (FNA). Rapid onsite evaluation (ROSE) has been conventionally used for improving the cytological yield as well as diagnostic accuracy of EUS FNA. The development of FNB has obviated the need for ROSE, and evidence from retrospective and comparative studies has suggested that FNB is as good as FNA with ROSE in terms of diagnostic accuracy and reduced costs. However, strong evidence in the form of a randomized controlled trial (RCT) was missing. In this news and views, we discuss a multicenter RCT that has compared the diagnostic accuracy of EUS FNB alone to EUS FNA with ROSE in patients with solid pancreatic lesions. This study has reemphasized that EUS FNB has a diagnostic accuracy comparable to EUS + ROSE at a comparable cost and requires fewer passes and has a shorter procedure time.

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内镜超声引导下胰腺病变细针活检是前进的道路：以下是证据！

内镜超声引导的组织采集（EUS-TA）由于其简单、成本效益和在高容量中心的可用性，在胰腺病理学中获得正确诊断方面变得越来越重要。EUS细针活检（FNB）的出现使EUS TA发生了革命性的变化，与细针抽吸（FNA）相比，它提供了更大、更具诊断性的样本。快速现场评估（ROSE）通常用于提高EUS-FNA的细胞学产量和诊断准确性。FNB的发展消除了对ROSE的需求，回顾性和比较研究的证据表明，在诊断准确性和降低成本方面，FNB与带ROSE的FNA一样好。然而，缺乏随机对照试验（RCT）形式的有力证据。在这篇新闻和观点中，我们讨论了一项多中心随机对照试验，该试验比较了单纯EUS-FNB与EUS-FNA联合ROSE对胰腺实性病变患者的诊断准确性。这项研究再次强调，EUS FNB的诊断准确性与EUS相当 + ROSE的成本相当，需要更少的通道，手术时间更短。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Digestive Endoscopy GASTROENTEROLOGY & HEPATOLOGY-

自引率

28.60%

发文量

审稿时长

22 weeks

期刊介绍： The Journal of Digestive Endoscopy (JDE) is the official publication of the Society of Gastrointestinal Endoscopy of India that has over 1500 members. The society comprises of several key clinicians in this field from different parts of the country and has key international speakers in its advisory board. JDE is a double-blinded peer-reviewed, print and online journal publishing quarterly. It focuses on original investigations, reviews, case reports and clinical images as well as key investigations including but not limited to cholangiopancreatography, fluoroscopy, capsule endoscopy etc.