Endoscopic Ultrasound-Guided Through-the-Needle Biopsy: A Narrative Review of the Technique and Its Emerging Role in Pancreatic Cyst Diagnosis

被引:2
|
作者
Vilas-Boas, Filipe [1 ]
Ribeiro, Tiago [1 ]
Macedo, Guilherme [1 ]
Dhar, Jahnvi [2 ]
Samanta, Jayanta [2 ]
Sina, Sokol [3 ]
Manfrin, Erminia [3 ]
Facciorusso, Antonio [4 ]
Bellocchi, Maria Cristina Conti [5 ]
De Pretis, Nicolo [5 ]
Frulloni, Luca [5 ]
Crino, Stefano Francesco [5 ]
机构
[1] Univ Porto, Ctr Hosp & Univ Sao Joao, Fac Med, Gastroenterol Dept, P-4200349 Porto, Portugal
[2] Post Grad Inst Med Educ & Res, Dept Gastroenterol, Chandigarh 160012, India
[3] Univ Verona, Dept Diagnost & Publ Hlth, I-37129 Verona, Italy
[4] Univ Foggia, Dept Med & Surg Sci, Gastroenterol Unit, I-71122 Foggia, Italy
[5] Univ Hosp Verona, Gastroenterol & Digest Endoscopy Unit, I-37134 Verona, Italy
关键词
mucinous cystic neoplasm; EUS-FNA; pancreatic cancer; cystic fluid analysis; intraductal papillary mucinous neoplasm (IPMN); neuroendocrine tumor; PAPILLARY-MUCINOUS NEOPLASMS; CONFOCAL LASER ENDOMICROSCOPY; MICROFORCEPS BIOPSY; ANTIBIOTIC-PROPHYLAXIS; ASPIRATION-CYTOLOGY; EUROPEAN-SOCIETY; FLUID ANALYSIS; LESIONS; YIELD; PREVALENCE;
D O I
10.3390/diagnostics14151587
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Pancreatic cystic lesions (PCLs) pose a diagnostic challenge due to their increasing incidence and the limitations of cross-sectional imaging and endoscopic-ultrasound-guided fine-needle aspiration (EUS-FNA). EUS-guided through the needle biopsy (EUS-TTNB) has emerged as a promising tool for improving the accuracy of cyst type determination and neoplastic risk stratification. EUS-TTNB demonstrates superior diagnostic performance over EUS-FNA, providing critical preoperative information that can significantly influence patient management and reduce unnecessary surgeries. However, the procedure has risks, with an overall adverse event rate of approximately 9%. Preventive measures and further prospective studies are essential to optimize its safety and efficacy. This review highlights the potential of EUS-TTNB to enhance the diagnostic and management approaches for patients with PCLs. It examines the current state of EUS-TTNB, including available devices, indications, procedural techniques, specimen handling, diagnostic yield, clinical impact, and associated adverse events.
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页数:20
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