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Usefulness of a Fork-Tip Needle in Endoscopic Ultrasound-Guided Fine-Needle Biopsy for Gastric Subepithelial Lesions

The sample adequacy and diagnostic accuracy of an endoscopic ultrasound (EUS)-guided fine-needle aspiration (EUS-FNA) for gastric subepithelial lesions (SELs) have been reported to be imperfect. To resolve these issues, a fork-tip needle as an EUS-guided fine-needle biopsy (FNB) needle has been deve...

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Autores principales: Takasumi, Mika, Hikichi, Takuto, Hashimoto, Minami, Nakamura, Jun, Kato, Tsunetaka, Kobashi, Ryoichiro, Yanagita, Takumi, Suzuki, Rei, Sugimoto, Mitsuru, Sato, Yuki, Irie, Hiroki, Takagi, Tadayuki, Kobayakawa, Masao, Hashimoto, Yuko, Ohira, Hiromasa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8534775/
https://www.ncbi.nlm.nih.gov/pubmed/34679581
http://dx.doi.org/10.3390/diagnostics11101883
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author Takasumi, Mika
Hikichi, Takuto
Hashimoto, Minami
Nakamura, Jun
Kato, Tsunetaka
Kobashi, Ryoichiro
Yanagita, Takumi
Suzuki, Rei
Sugimoto, Mitsuru
Sato, Yuki
Irie, Hiroki
Takagi, Tadayuki
Kobayakawa, Masao
Hashimoto, Yuko
Ohira, Hiromasa
author_facet Takasumi, Mika
Hikichi, Takuto
Hashimoto, Minami
Nakamura, Jun
Kato, Tsunetaka
Kobashi, Ryoichiro
Yanagita, Takumi
Suzuki, Rei
Sugimoto, Mitsuru
Sato, Yuki
Irie, Hiroki
Takagi, Tadayuki
Kobayakawa, Masao
Hashimoto, Yuko
Ohira, Hiromasa
author_sort Takasumi, Mika
collection PubMed
description The sample adequacy and diagnostic accuracy of an endoscopic ultrasound (EUS)-guided fine-needle aspiration (EUS-FNA) for gastric subepithelial lesions (SELs) have been reported to be imperfect. To resolve these issues, a fork-tip needle as an EUS-guided fine-needle biopsy (FNB) needle has been developed. This study was conducted to evaluate the usefulness of a fork-tip needle in an EUS-FNB for gastric SELs. Seventy-nine patients who received an EUS-FNA or FNB using a fork-tip needle for gastric SELs were included in the study. The sample adequacy and diagnostic accuracy were compared between the EUS-FNB with the fork-tip needle group (fork-tip group, n = 13) and the EUS-FNA with FNA needle group (FNA group, n = 66). In addition, a multivariate analysis of the factors influencing diagnostic accuracy was conducted. Regarding sample adequacy, there was no significant difference between the groups (100% vs. 90.9%, respectively; p = 0.582). The diagnostic accuracy of the fork-tip group was numerically higher than that of the FNA group (92.3% vs. 81.8%, respectively; p = 0.682). In a multivariate analysis, the diagnostic accuracy was related to the tumor size and location of the SEL but not to the needle type. In conclusion, this study does not show statistical superiority, but suggests the useful potential of a fork-tip needle.
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spelling pubmed-85347752021-10-23 Usefulness of a Fork-Tip Needle in Endoscopic Ultrasound-Guided Fine-Needle Biopsy for Gastric Subepithelial Lesions Takasumi, Mika Hikichi, Takuto Hashimoto, Minami Nakamura, Jun Kato, Tsunetaka Kobashi, Ryoichiro Yanagita, Takumi Suzuki, Rei Sugimoto, Mitsuru Sato, Yuki Irie, Hiroki Takagi, Tadayuki Kobayakawa, Masao Hashimoto, Yuko Ohira, Hiromasa Diagnostics (Basel) Article The sample adequacy and diagnostic accuracy of an endoscopic ultrasound (EUS)-guided fine-needle aspiration (EUS-FNA) for gastric subepithelial lesions (SELs) have been reported to be imperfect. To resolve these issues, a fork-tip needle as an EUS-guided fine-needle biopsy (FNB) needle has been developed. This study was conducted to evaluate the usefulness of a fork-tip needle in an EUS-FNB for gastric SELs. Seventy-nine patients who received an EUS-FNA or FNB using a fork-tip needle for gastric SELs were included in the study. The sample adequacy and diagnostic accuracy were compared between the EUS-FNB with the fork-tip needle group (fork-tip group, n = 13) and the EUS-FNA with FNA needle group (FNA group, n = 66). In addition, a multivariate analysis of the factors influencing diagnostic accuracy was conducted. Regarding sample adequacy, there was no significant difference between the groups (100% vs. 90.9%, respectively; p = 0.582). The diagnostic accuracy of the fork-tip group was numerically higher than that of the FNA group (92.3% vs. 81.8%, respectively; p = 0.682). In a multivariate analysis, the diagnostic accuracy was related to the tumor size and location of the SEL but not to the needle type. In conclusion, this study does not show statistical superiority, but suggests the useful potential of a fork-tip needle. MDPI 2021-10-12 /pmc/articles/PMC8534775/ /pubmed/34679581 http://dx.doi.org/10.3390/diagnostics11101883 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Takasumi, Mika
Hikichi, Takuto
Hashimoto, Minami
Nakamura, Jun
Kato, Tsunetaka
Kobashi, Ryoichiro
Yanagita, Takumi
Suzuki, Rei
Sugimoto, Mitsuru
Sato, Yuki
Irie, Hiroki
Takagi, Tadayuki
Kobayakawa, Masao
Hashimoto, Yuko
Ohira, Hiromasa
Usefulness of a Fork-Tip Needle in Endoscopic Ultrasound-Guided Fine-Needle Biopsy for Gastric Subepithelial Lesions
title Usefulness of a Fork-Tip Needle in Endoscopic Ultrasound-Guided Fine-Needle Biopsy for Gastric Subepithelial Lesions
title_full Usefulness of a Fork-Tip Needle in Endoscopic Ultrasound-Guided Fine-Needle Biopsy for Gastric Subepithelial Lesions
title_fullStr Usefulness of a Fork-Tip Needle in Endoscopic Ultrasound-Guided Fine-Needle Biopsy for Gastric Subepithelial Lesions
title_full_unstemmed Usefulness of a Fork-Tip Needle in Endoscopic Ultrasound-Guided Fine-Needle Biopsy for Gastric Subepithelial Lesions
title_short Usefulness of a Fork-Tip Needle in Endoscopic Ultrasound-Guided Fine-Needle Biopsy for Gastric Subepithelial Lesions
title_sort usefulness of a fork-tip needle in endoscopic ultrasound-guided fine-needle biopsy for gastric subepithelial lesions
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8534775/
https://www.ncbi.nlm.nih.gov/pubmed/34679581
http://dx.doi.org/10.3390/diagnostics11101883
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