A prospective randomized study comparing 25-G and 22-G needles of a new platform for endoscopic ultrasound-guided fine needle aspiration of solid masses

被引:26
|
作者
Carrara, Silvia [1 ]
Anderloni, Andrea [1 ]
Jovani, Manol [1 ]
Di Tommaso, Luca [2 ]
Rahal, Daoud [2 ]
Hassan, Cesare [3 ]
Ridola, Lorenzo [3 ]
Federico, Davide [2 ]
Loriga, Alessandra [1 ]
Repici, Alessandro [1 ]
机构
[1] Humanitas Res Hosp, Div Gastroenterol, Digest Endoscopy Unit, Via Manzoni 56, I-20089 Milan, Italy
[2] Humanitas Res Hosp, Dept Pathol, I-20089 Milan, Italy
[3] Nuovo Regina Margherita Hosp, Endoscopy Unit, Rome, Italy
关键词
Endoscopic ultrasound; Fine needle aspiration; 22-Gauge needle; 25-Gauge needle; PANCREATIC MASSES; EUS-FNA; DIAGNOSTIC YIELD; 25G NEEDLES; LESIONS; BIOPSY; METAANALYSIS; SAMPLES; 22G;
D O I
10.1016/j.dld.2015.09.017
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Background: A new needle platform for endoscopic ultrasound-guided fine-needle aspiration biopsy has been developed that allows interchangeability of all needle sizes. Aims: To prospectively compare the efficacy of the new 25-G needles and 22-G needles for obtaining an adequate aspirate of solid masses. Methods: Randomized controlled trial of 144 patients referred for endoscopic ultrasound-guided fine-needle aspiration of solid pancreatic masses, intraparietal tumours, or lymph-nodes, randomized to the 25-G or 22-G needle arms. Results: An adequate specimen was obtained from 74.3% of cases. The sample tended to be more adequate in the 25-G compared to the 22-G group (81% vs. 68%; p = 0.09). Crossover was required in 14 (19%) and 12 (17%) cases in the 22-G and in the 25-G groups, respectively (p = 0.7). The overall rate of adequacy improved from 74% before crossover to 90% after crossover (p < 0.01). When comparing the two groups after crossover, the rate of obtaining adequate samples was significantly higher in the 25-G arm than in the 22-G arm (95.8% vs. 86.1%; p = 0.03). Conclusions: The 25-G needle was superior to the 22-G needle for endoscopic ultrasound-guided fine-needle aspiration biopsy. The adequacy and diagnostic accuracy improved after crossover, reaching 90%. (C) 2015 Editrice Gastroenterologica Italiana S.r.l. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:49 / 54
页数:6
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