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Transabdominal ultrasound-guided pancreatic biopsy: a neglected but safe, effective and inexpensive procedure that needs to be re-juvinalized.
Terracciano, Fulvia; Marra, Antonella; Ippolito, Antonio Massimo; Bossa, Fabrizio; Sitajolo, Krizia; Amoruso, Annabianca; Parente, Paola; Valvano, Maria Rosa; Graziano, Paolo; Andriulli, Angelo.
Afiliação
  • Terracciano F; Division of Gastroenterology and Endoscopy, IRCCS, Fondazione Casa Sollievo della Sofferenza, Viale Cappuccini 1, 71024, San Giovanni Rotondo, Italy. terracciano74@hotmail.com.
  • Marra A; Division of Gastroenterology and Endoscopy, IRCCS, Fondazione Casa Sollievo della Sofferenza, Viale Cappuccini 1, 71024, San Giovanni Rotondo, Italy.
  • Ippolito AM; Division of Gastroenterology and Endoscopy, IRCCS, Fondazione Casa Sollievo della Sofferenza, Viale Cappuccini 1, 71024, San Giovanni Rotondo, Italy.
  • Bossa F; Division of Gastroenterology and Endoscopy, IRCCS, Fondazione Casa Sollievo della Sofferenza, Viale Cappuccini 1, 71024, San Giovanni Rotondo, Italy.
  • Sitajolo K; Hepatology and Biomolecular Clinics, "G. Martino" Hospital, Messina, Italy.
  • Amoruso A; Endoscopy Unit, "San Carlo" Hospital, Potenza, Italy.
  • Parente P; Department of Human Pathology, IRCCS, Fondazione Casa Sollievo della Sofferenza, San Giovanni Rotondo, Italy.
  • Valvano MR; Division of Gastroenterology and Endoscopy, IRCCS, Fondazione Casa Sollievo della Sofferenza, Viale Cappuccini 1, 71024, San Giovanni Rotondo, Italy.
  • Graziano P; Department of Human Pathology, IRCCS, Fondazione Casa Sollievo della Sofferenza, San Giovanni Rotondo, Italy.
  • Andriulli A; Division of Gastroenterology and Endoscopy, IRCCS, Fondazione Casa Sollievo della Sofferenza, Viale Cappuccini 1, 71024, San Giovanni Rotondo, Italy.
J Ultrasound ; 24(2): 175-182, 2021 Jun.
Article em En | MEDLINE | ID: mdl-33521888
BACKGROUND: For solid pancreatic masses, ultrasound endoscopic fine-needle biopsy is suggested as the front-line investigation for tissue achievement, notwithstanding the optimal performance of transabdominal ultrasound (TUS)-guided biopsy. PURPOSE: To reassess the efficacy and effectiveness of TUS-guided sampling and to determine the factors predictive of accurate histology. METHODS: In total, 142 patients with an indication for a TUS-guided biopsy of a pancreatic mass were analyzed. A single pass of an 18-gauge Biomol needle was carried out by the Menghini technique. The accuracy, sensitivity, and specificity of the procedure in terms of correctly diagnosing an inflammatory or neoplastic lesion were determined. The patients' characteristics, the size and location of the mass, and the sonographers' experience in performing TUS were recorded. RESULTS: The sampling was unsuccessful in 24 cases, owing to the deep localization of lesions (57%), bloating (33%), or low patient compliance (10%). The accuracy, sensitivity, and specificity of the 118 successful biopsies were 81%, 79%, and 100%, respectively. A biopsy core was obtained in 90 of the 118 patients (76%) in whom the procedure was attempted. In the multivariate analysis, lesion size (≤ 20 mm vs. > 20 mm) (OR = 5.3 [1.7-17.0]) and operator experience (OR = 4.4 [1.6-12.1]) predicted the acquisition of adequate samples. With an expert sonographer, the accuracy, sensitivity, and specificity were 87%, 85%, and 100%, respectively. Two adverse events were registered: mild abdominal pain and a hypotensive crisis. CONCLUSIONS: The present investigation highlights the optimal performance of a TUS-guided biopsy of a pancreatic mass. Because of its simplicity and safety, the procedure needs to be included among the recommended investigative options.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Pâncreas / Aspiração por Agulha Fina Guiada por Ultrassom Endoscópico Tipo de estudo: Prognostic_studies Limite: Humans Idioma: En Ano de publicação: 2021 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Pâncreas / Aspiração por Agulha Fina Guiada por Ultrassom Endoscópico Tipo de estudo: Prognostic_studies Limite: Humans Idioma: En Ano de publicação: 2021 Tipo de documento: Article