Cargando…

Utility of forward-view endoscopic ultrasound in fine-needle aspiration in patients with a surgically altered upper gastrointestinal anatomy

BACKGROUND/AIMS: Endoscopic ultrasound (EUS)-guided fine-needle aspiration (FNA) using oblique-view EUS in patients with a surgically altered anatomy (SAA) of the upper gastrointestinal tract is limited because of difficult scope insertion due to the disturbed anatomy. This study aimed to investigat...

Descripción completa

Detalles Bibliográficos
Autores principales: Bakr, Asmaa, Hara, Kazuo, Elshair, Moaz, Haba, Shin, Kuwahara, Takamichi, Okuno, Nozomi, Fumihara, Daiki, Yanaidani, Takafumi, Zaky, Samy, Omar, Hanaa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Gastrointestinal Endoscopy 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10244154/
https://www.ncbi.nlm.nih.gov/pubmed/36600657
http://dx.doi.org/10.5946/ce.2021.238
_version_ 1785054573634781184
author Bakr, Asmaa
Hara, Kazuo
Elshair, Moaz
Haba, Shin
Kuwahara, Takamichi
Okuno, Nozomi
Fumihara, Daiki
Yanaidani, Takafumi
Zaky, Samy
Omar, Hanaa
author_facet Bakr, Asmaa
Hara, Kazuo
Elshair, Moaz
Haba, Shin
Kuwahara, Takamichi
Okuno, Nozomi
Fumihara, Daiki
Yanaidani, Takafumi
Zaky, Samy
Omar, Hanaa
author_sort Bakr, Asmaa
collection PubMed
description BACKGROUND/AIMS: Endoscopic ultrasound (EUS)-guided fine-needle aspiration (FNA) using oblique-view EUS in patients with a surgically altered anatomy (SAA) of the upper gastrointestinal tract is limited because of difficult scope insertion due to the disturbed anatomy. This study aimed to investigate the efficiency of forward-view (FV)-EUS in performing FNA in patients with a SAA. METHODS: We retrospectively investigated 32 patients with a SAA of the upper gastrointestinal tract who visited Aichi Cancer Center Hospital in Nagoya, Japan, between January 2014 and December 2020. We performed-upper gastrointestinal EUS-FNA using FV-EUS combined with fluoroscopic imaging to confirm tumor recurrence or to make a decision before chemotherapy or after a failure of diagnosis by radiology. RESULTS: We successfully performed EUS-FNA in all studied patients (100% technical success), with the specificity, sensitivity, and accuracy of 100%, 87.5%, and 87.8%, respectively, with no complications. CONCLUSIONS: EUS-FNA using FV-EUS combined with fluoroscopic imaging is an effective and safe technique for tissue acquisition in patients with a SAA.
format Online
Article
Text
id pubmed-10244154
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Korean Society of Gastrointestinal Endoscopy
record_format MEDLINE/PubMed
spelling pubmed-102441542023-06-08 Utility of forward-view endoscopic ultrasound in fine-needle aspiration in patients with a surgically altered upper gastrointestinal anatomy Bakr, Asmaa Hara, Kazuo Elshair, Moaz Haba, Shin Kuwahara, Takamichi Okuno, Nozomi Fumihara, Daiki Yanaidani, Takafumi Zaky, Samy Omar, Hanaa Clin Endosc Original Article BACKGROUND/AIMS: Endoscopic ultrasound (EUS)-guided fine-needle aspiration (FNA) using oblique-view EUS in patients with a surgically altered anatomy (SAA) of the upper gastrointestinal tract is limited because of difficult scope insertion due to the disturbed anatomy. This study aimed to investigate the efficiency of forward-view (FV)-EUS in performing FNA in patients with a SAA. METHODS: We retrospectively investigated 32 patients with a SAA of the upper gastrointestinal tract who visited Aichi Cancer Center Hospital in Nagoya, Japan, between January 2014 and December 2020. We performed-upper gastrointestinal EUS-FNA using FV-EUS combined with fluoroscopic imaging to confirm tumor recurrence or to make a decision before chemotherapy or after a failure of diagnosis by radiology. RESULTS: We successfully performed EUS-FNA in all studied patients (100% technical success), with the specificity, sensitivity, and accuracy of 100%, 87.5%, and 87.8%, respectively, with no complications. CONCLUSIONS: EUS-FNA using FV-EUS combined with fluoroscopic imaging is an effective and safe technique for tissue acquisition in patients with a SAA. Korean Society of Gastrointestinal Endoscopy 2023-05 2023-01-05 /pmc/articles/PMC10244154/ /pubmed/36600657 http://dx.doi.org/10.5946/ce.2021.238 Text en Copyright © 2023 Korean Society of Gastrointestinal Endoscopy https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Bakr, Asmaa
Hara, Kazuo
Elshair, Moaz
Haba, Shin
Kuwahara, Takamichi
Okuno, Nozomi
Fumihara, Daiki
Yanaidani, Takafumi
Zaky, Samy
Omar, Hanaa
Utility of forward-view endoscopic ultrasound in fine-needle aspiration in patients with a surgically altered upper gastrointestinal anatomy
title Utility of forward-view endoscopic ultrasound in fine-needle aspiration in patients with a surgically altered upper gastrointestinal anatomy
title_full Utility of forward-view endoscopic ultrasound in fine-needle aspiration in patients with a surgically altered upper gastrointestinal anatomy
title_fullStr Utility of forward-view endoscopic ultrasound in fine-needle aspiration in patients with a surgically altered upper gastrointestinal anatomy
title_full_unstemmed Utility of forward-view endoscopic ultrasound in fine-needle aspiration in patients with a surgically altered upper gastrointestinal anatomy
title_short Utility of forward-view endoscopic ultrasound in fine-needle aspiration in patients with a surgically altered upper gastrointestinal anatomy
title_sort utility of forward-view endoscopic ultrasound in fine-needle aspiration in patients with a surgically altered upper gastrointestinal anatomy
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10244154/
https://www.ncbi.nlm.nih.gov/pubmed/36600657
http://dx.doi.org/10.5946/ce.2021.238
work_keys_str_mv AT bakrasmaa utilityofforwardviewendoscopicultrasoundinfineneedleaspirationinpatientswithasurgicallyaltereduppergastrointestinalanatomy
AT harakazuo utilityofforwardviewendoscopicultrasoundinfineneedleaspirationinpatientswithasurgicallyaltereduppergastrointestinalanatomy
AT elshairmoaz utilityofforwardviewendoscopicultrasoundinfineneedleaspirationinpatientswithasurgicallyaltereduppergastrointestinalanatomy
AT habashin utilityofforwardviewendoscopicultrasoundinfineneedleaspirationinpatientswithasurgicallyaltereduppergastrointestinalanatomy
AT kuwaharatakamichi utilityofforwardviewendoscopicultrasoundinfineneedleaspirationinpatientswithasurgicallyaltereduppergastrointestinalanatomy
AT okunonozomi utilityofforwardviewendoscopicultrasoundinfineneedleaspirationinpatientswithasurgicallyaltereduppergastrointestinalanatomy
AT fumiharadaiki utilityofforwardviewendoscopicultrasoundinfineneedleaspirationinpatientswithasurgicallyaltereduppergastrointestinalanatomy
AT yanaidanitakafumi utilityofforwardviewendoscopicultrasoundinfineneedleaspirationinpatientswithasurgicallyaltereduppergastrointestinalanatomy
AT zakysamy utilityofforwardviewendoscopicultrasoundinfineneedleaspirationinpatientswithasurgicallyaltereduppergastrointestinalanatomy
AT omarhanaa utilityofforwardviewendoscopicultrasoundinfineneedleaspirationinpatientswithasurgicallyaltereduppergastrointestinalanatomy