内窥镜超声引导下的胃肠道上皮下病变细针穿刺术。

IF 1.9 4区 医学 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Journal of Medical Ultrasonics Pub Date : 2024-04-01 Epub Date: 2023-07-25 DOI:10.1007/s10396-023-01342-7
Takuto Hikichi, Minami Hashimoto, Takumi Yanagita, Tsunetaka Kato, Jun Nakamura
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引用次数: 0

摘要

内镜超声引导下细针穿刺术(EUS-FNA)是获取胃肠道(GI)上皮下病变(SEL)病理组织样本的首选方法。然而,由于穿刺困难以及需要免疫染色才能明确诊断,其诊断准确性低于胰腺肿块。近年来,细针活检针的出现提高了 EUS-FNA 诊断消化道 SEL 的准确性。前视回声内窥镜和快速现场评估(ROSE)也有助于提高诊断准确性。此外,在不具备 ROSE 的设施中,内镜技师可进行宏观现场评估。有了这些程序上的创新,即使是小于 20 毫米的 SEL,现在也能积极地进行 EUS-FNA。手术相关不良事件(如出血和感染)的发生率很低,因此可以安全地进行 EUS-FNA 诊断 SEL。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Endoscopic ultrasound-guided fine-needle aspiration for gastrointestinal subepithelial lesions.

Endoscopic ultrasound-guided fine-needle aspiration for gastrointestinal subepithelial lesions.

Endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) is the first-choice procedure for obtaining pathological tissue samples from gastrointestinal (GI) subepithelial lesions (SELs). However, its diagnostic accuracy is lower than that for pancreatic masses owing to puncture difficulty and the need for immunostaining for definitive diagnosis. The advent of fine-needle biopsy needles, which have become well known in recent years, improves the diagnostic accuracy of EUS-FNA for GI SELs. The forward-viewing echoendoscope and rapid on-site evaluation (ROSE) have also helped to improve diagnostic accuracy. Furthermore, in facilities where ROSE is not available, endosonographers perform a macroscopic on-site evaluation. With these procedural innovations, EUS-FNA is now performed aggressively even for SELs smaller than 20 mm. The incidence of procedure-related adverse events such as bleeding and infection is low, and thus, EUS-FNA can be safely performed to diagnose SELs.

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来源期刊
CiteScore
3.30
自引率
11.10%
发文量
102
审稿时长
>12 weeks
期刊介绍: The Journal of Medical Ultrasonics is the official journal of the Japan Society of Ultrasonics in Medicine. The main purpose of the journal is to provide forum for the publication of papers documenting recent advances and new developments in the entire field of ultrasound in medicine and biology, encompassing both the medical and the engineering aspects of the science.The journal welcomes original articles, review articles, images, and letters to the editor.The journal also provides state-of-the-art information such as announcements from the boards and the committees of the society.
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