Félix I. Téllez-Ávila, Jorge Adolfo Martínez-Lozano, Gilberto Medrano-Duarte, Anamaría Rosales-Salinas, Francisco Valdovinos-Andraca, Ambrosio Rafael Bernal-Méndez, Camilo Guerrero-Velásquez, Miguel Ángel Ramírez-Luna
{"title":"非胰腺损伤患者首次活检阴性后内镜超声引导重复活检的诊断性能","authors":"Félix I. Téllez-Ávila, Jorge Adolfo Martínez-Lozano, Gilberto Medrano-Duarte, Anamaría Rosales-Salinas, Francisco Valdovinos-Andraca, Ambrosio Rafael Bernal-Méndez, Camilo Guerrero-Velásquez, Miguel Ángel Ramírez-Luna","doi":"10.1016/j.endomx.2016.08.003","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><p>Endoscopic ultrasound has been a useful method for the evaluation of pancreatobiliary pathology for more than a decade, however it is not unusual to find inconclusive pathological results in tissue obtained for diagnosis. The factors affecting diagnostic performance include; endosonographist experience, the volume of procedures performed, type, size and location, amongst others. The aim of this study was to evaluate the diagnostic performance of the second EUS-FNA in non-pancreatic lesions.</p></div><div><h3>Material and methods</h3><p>A retrospective cross-sectional study that includedpatients<!--> <!-->><!--> <!-->18 years who underwent EUS-FNA over a period of 8 years.</p></div><div><h3>Results</h3><p>150 procedures were performed in 132 patients with non-pancreatic lesions. Finally, the diagnosis was obtained by EUS-FNA in 114/132 patients for a diagnostic yield of 86.6%. In total, the biopsy median (minimum/maximum interval) was 1 (1-5). The diagnostic yield of the first EUS-FNA was 77.3% (102/132). With the second EUS-FNA 11/16 patients had a histological diagnosis (11/16<!--> <!-->=<!--> <!-->68.7%; global 85.6%). No complications were reported.</p></div><div><h3>Conclusion</h3><p>Repeat EUS-FNA in patients with non-pancreatic lesions is necessary in patients with a first negative EUS-FNA because it improves the diagnostic yield.</p></div>","PeriodicalId":100465,"journal":{"name":"Endoscopia","volume":"28 3","pages":"Pages 109-113"},"PeriodicalIF":0.0000,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.endomx.2016.08.003","citationCount":"0","resultStr":"{\"title\":\"Rendimiento diagnóstico de repetir la biopsia guiada por ultrasonido endoscópico después de una primera biopsia negativa en pacientes con lesiones no pancreáticas\",\"authors\":\"Félix I. Téllez-Ávila, Jorge Adolfo Martínez-Lozano, Gilberto Medrano-Duarte, Anamaría Rosales-Salinas, Francisco Valdovinos-Andraca, Ambrosio Rafael Bernal-Méndez, Camilo Guerrero-Velásquez, Miguel Ángel Ramírez-Luna\",\"doi\":\"10.1016/j.endomx.2016.08.003\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Introduction</h3><p>Endoscopic ultrasound has been a useful method for the evaluation of pancreatobiliary pathology for more than a decade, however it is not unusual to find inconclusive pathological results in tissue obtained for diagnosis. The factors affecting diagnostic performance include; endosonographist experience, the volume of procedures performed, type, size and location, amongst others. The aim of this study was to evaluate the diagnostic performance of the second EUS-FNA in non-pancreatic lesions.</p></div><div><h3>Material and methods</h3><p>A retrospective cross-sectional study that includedpatients<!--> <!-->><!--> <!-->18 years who underwent EUS-FNA over a period of 8 years.</p></div><div><h3>Results</h3><p>150 procedures were performed in 132 patients with non-pancreatic lesions. Finally, the diagnosis was obtained by EUS-FNA in 114/132 patients for a diagnostic yield of 86.6%. In total, the biopsy median (minimum/maximum interval) was 1 (1-5). The diagnostic yield of the first EUS-FNA was 77.3% (102/132). With the second EUS-FNA 11/16 patients had a histological diagnosis (11/16<!--> <!-->=<!--> <!-->68.7%; global 85.6%). No complications were reported.</p></div><div><h3>Conclusion</h3><p>Repeat EUS-FNA in patients with non-pancreatic lesions is necessary in patients with a first negative EUS-FNA because it improves the diagnostic yield.</p></div>\",\"PeriodicalId\":100465,\"journal\":{\"name\":\"Endoscopia\",\"volume\":\"28 3\",\"pages\":\"Pages 109-113\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2016-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1016/j.endomx.2016.08.003\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Endoscopia\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0188989316300719\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Endoscopia","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0188989316300719","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Rendimiento diagnóstico de repetir la biopsia guiada por ultrasonido endoscópico después de una primera biopsia negativa en pacientes con lesiones no pancreáticas
Introduction
Endoscopic ultrasound has been a useful method for the evaluation of pancreatobiliary pathology for more than a decade, however it is not unusual to find inconclusive pathological results in tissue obtained for diagnosis. The factors affecting diagnostic performance include; endosonographist experience, the volume of procedures performed, type, size and location, amongst others. The aim of this study was to evaluate the diagnostic performance of the second EUS-FNA in non-pancreatic lesions.
Material and methods
A retrospective cross-sectional study that includedpatients > 18 years who underwent EUS-FNA over a period of 8 years.
Results
150 procedures were performed in 132 patients with non-pancreatic lesions. Finally, the diagnosis was obtained by EUS-FNA in 114/132 patients for a diagnostic yield of 86.6%. In total, the biopsy median (minimum/maximum interval) was 1 (1-5). The diagnostic yield of the first EUS-FNA was 77.3% (102/132). With the second EUS-FNA 11/16 patients had a histological diagnosis (11/16 = 68.7%; global 85.6%). No complications were reported.
Conclusion
Repeat EUS-FNA in patients with non-pancreatic lesions is necessary in patients with a first negative EUS-FNA because it improves the diagnostic yield.
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