Optimal number of needle punctures in endoscopic ultrasound-guided fine-needle biopsy for gastric subepithelial lesions without rapid on-site evaluation
| Autor: | Kunihiro Hosono, Kenichi Kawana, Masato Suzuki, Atsushi Nakajima, Hajime Nagase, Kensuke Kubota, Yusuke Sekino |
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| Rok vydání: | 2021 |
| Předmět: |
Image-Guided Biopsy
Endoscopic ultrasound medicine.medical_specialty medicine.diagnostic_test business.industry Stomach Ultrasound Retrospective cohort study Punctures General Medicine Site evaluation digestive system diseases Confidence interval Fine needle biopsy medicine.anatomical_structure Needles Biopsy medicine Humans Radiology Nuclear Medicine and imaging Radiology business Endoscopic Ultrasound-Guided Fine Needle Aspiration Retrospective Studies |
| Zdroj: | Journal of Medical Ultrasonics. 48:623-629 |
| ISSN: | 1613-2254 1346-4523 |
| Popis: | The utility of endoscopic ultrasound-guided fine-needle biopsy (EUS-FNB) for gastric subepithelial lesions (SELs) has been reported. In this study, we examined the optimal number of needle punctures during EUS-FNB for gastric SELs without rapid on-site evaluation (ROSE). The factors that allowed for a single needle puncture to arrive at the correct diagnosis were also analyzed. We conducted a retrospective study of all patients who underwent EUS-FNB to evaluate gastric SELs between April 2015 and September 2020; 51 patients with 57 gastric SELs were enrolled. The optimal number of needle punctures was determined when additional needle passes did not increase diagnostic sensitivity by more than 10%. Factors allowing for only a single needle puncture to arrive at the correct diagnosis were identified by univariate and multivariate logistic regression analyses. EUS-FNB resulted in a definitive final diagnosis in 48 of 57 lesions (84%). Lesions in the gastric body (odds ratio [OR] 6.15, 95% confidence interval [CI] 1.75–21.6; P |
| Databáze: | OpenAIRE |
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