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Current Practice Patterns of Endoscopic Ultrasound-Guided Tissue Sampling for Pancreatic Solid Mass in Korea: Outcomes of a National Survey.
Ahn, Dong-Won; Chon, Hyung Ku; Moon, Sung-Hoon; Park, Sang Wook; Paik, Woo Hyun; Paik, Chang Nyol; Son, Byoung Kwan; Song, Tae Jun; Lee, Eaum Seok; Lee, Yun Nah; Lee, Yoon Suk; Lee, Jae Min; Jeon, Tae Joo; Park, Chang Hwan; Cho, Kwang Bum; Lee, Dong Wook; Kim, Hong Ja; Yoon, Seung Bae; Chung, Kwang Hyun; Park, Jin-Seok.
Afiliação
  • Ahn DW; Department of Internal Medicine, SMG-SNU Boramae Medical Center, Seoul National University College of Medicine, Seoul, Korea.
  • Chon HK; Department of Internal Medicine, Wonkwang University College of Medicine, Iksan, Korea.
  • Moon SH; Department of Internal Medicine, Hallym University College of Medicine, Anyang, Korea.
  • Park SW; Department of Internal Medicine, Kwangju Christian Hospital, Gwangju, Korea.
  • Paik WH; Department of Internal Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.
  • Paik CN; Department of Internal Medicine, St. Vincent's Hospital, College of Medicine, Catholic University of Korea, Seoul, Korea.
  • Son BK; Department of Internal Medicine, Uijeongbu Eulji Medical Center, Eulji University School of Medicine, Uijeongbu, Korea.
  • Song TJ; Department of Internal Medicine, University of Ulsan College of Medicine, Seoul, Korea.
  • Lee ES; Department of Internal Medicine, Chungnam National University College of Medicine, Daejeon, Korea.
  • Lee YN; Department of Internal Medicine, Soonchunhyang University School of Medicine, Bucheon, Korea.
  • Lee YS; Department of Internal Medicine, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea.
  • Lee JM; Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea.
  • Jeon TJ; Department of Internal Medicine, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Korea.
  • Park CH; Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea.
  • Cho KB; Department of Internal Medicine, Dongsan Medical Center, Keimyung University School of Medicine, Daegu, Korea.
  • Lee DW; Department of Internal Medicine, School of Medicine, Kyungpook National University, Daegu, Korea.
  • Kim HJ; Department of Internal Medicine, Dankook University College of Medicine, Cheonan, Korea.
  • Yoon SB; Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.
  • Chung KH; Department of Internal Medicine, Uijeongbu Eulji Medical Center, Eulji University School of Medicine, Uijeongbu, Korea.
  • Park JS; Department of Internal Medicine, Inha University School of Medicine, Incheon, Korea.
Gut Liver ; 17(2): 328-336, 2023 03 15.
Article em En | MEDLINE | ID: mdl-36059092
ABSTRACT
Background/

Aims:

Although endoscopic ultrasound (EUS)-guided fine needle aspiration (FNA) and fine needle biopsy (FNB) are widely used for tissue acquisition of pancreatic solid mass, the optimal strategy of this procedure has not been established yet. The aim of this nationwide study was to investigate the current practice patterns of EUS-FNA/FNB for pancreatic solid mass in Korea.

Methods:

The Policy-Quality Management of the Korean Pancreatobiliary Association (KPBA) developed a questionnaire containing 22 questions. An electronic survey consisting of the questionnaire was distributed by e-mail to members registered to the KPBA.

Results:

A total of 101 respondents completed the survey. Eighty respondents (79.2%) performed preoperative EUS-FNA/FNB for operable pancreatic solid mass. Acquire needles (60.4%) were used the most, followed by ProCore needles (47.5%). In terms of need size, most respondents (>80%) preferred 22-gauge needles regardless of the location of the mass. Negative suction with a 10-mL syringe (71.3%) as sampling technique was followed by stylet slow-pull (41.6%). More than three needle passes for EUS-FNA/FNB was performed by most respondents (>80%). The frequency of requiring repeated procedure was significantly higher in respondents with a low individual volume (<5 per month, p=0.001). Prophylactic antibiotics were routinely used in 39 respondents (38.6%); rapid on-site pathologic evaluation was used in 6.1%.

Conclusions:

According to this survey, practices of EUS-FNA/FNB for pancreatic solid mass varied substantially, some of which differed considerably from the recommendations present in existing guidelines. These results suggest that the development of evidence-based quality guidelines fitting Korean clinical practice is needed to establish the optimal strategy for this procedure.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Neoplasias Pancreáticas Tipo de estudo: Guideline / Qualitative_research Limite: Humans País/Região como assunto: Asia Idioma: En Revista: Gut Liver Ano de publicação: 2023 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Neoplasias Pancreáticas Tipo de estudo: Guideline / Qualitative_research Limite: Humans País/Região como assunto: Asia Idioma: En Revista: Gut Liver Ano de publicação: 2023 Tipo de documento: Article