Autoimmune pancreatitis: an update

Muniraj, Thiruvengadam; Sah, Raghuwansh P.; Chari, Suresh T.

doi:10.1002/9781118924907.ch12d

Cited by 3 publications

(2 citation statements)

References 52 publications

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“…Taking into account the nature of the lesions, obtaining a tissue histology has been recognized as important for the diagnosis of autoimmune pancreatitis, especially in focal form[74], or in case of Hodgkin lymphoma[75]. Hence, FNB needle should be considered when facing these diagnostic suspects.…”

Section: Practical Recommendationsmentioning

confidence: 99%

Endoscopic ultrasound-guided sampling of solid pancreatic masses: the fine needle aspiration or fine needle biopsy dilemma. Is the best needle yet to come?

Conti¹,

Cereatti²,

Grassia³

2019

World J Gastrointest Endosc

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Fine needle aspiration (FNA) is currently the standard of care for sampling pancreatic solid masses by using endoscopic ultrasound (EUS). The accuracy of the technique is reported to be high, especially if coupled with the rapid on site evaluation (ROSE), and it has a high safety profile. However, FNA presents some limitations, such as the small amount of tissue that can be collected and the inability of obtaining a core tissue with intact histological architecture, which is relevant to perform immunohistochemical analysis, molecular profiling and, therefore, targeted therapies. Moreover, the presence of the ROSE by an expert cytopathologist is very important to maximize the diagnostic yield of FNA technique; however, it is not widely available, especially in small centers. Hence, the introduction of EUS fine needle biopsy (FNB) with a new generation of needles, which show a high safety profile too and a satisfying diagnostic accuracy even in the absence of ROSE, could be the key to overcome the limitations of FNA. However, FNB has not yet shown diagnostic superiority over FNA. Considering all the technical aspects of FNA and FNB, the different types of needle currently available, comparisons in term of diagnostic yield, and the different techniques of sampling, a tailored approach should be used in order to determine the needle that is most appropriate for the different specific scenarios.

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Section: Practical Recommendationsmentioning

confidence: 99%

Endoscopic ultrasound-guided sampling of solid pancreatic masses: the fine needle aspiration or fine needle biopsy dilemma. Is the best needle yet to come?

Conti¹,

Cereatti²,

Grassia³

2019

World J Gastrointest Endosc

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“…Although tissue histology has been proved to be important for the diagnosis of autoimmune pancreatitis,[ 187 ] Hodgkin's lymphoma,[ 188 ] and well-differentiated adenocarcinomas,[ 189 ] the utility of histology for pancreas sampling has been evolving.…”

Section: Needle Size: Small Vs Largementioning

confidence: 99%

A quarter century of EUS-FNA: Progress, milestones, and future directions

et al. 2018

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Tissue acquisition using EUS has considerably evolved since the first EUS-FNA was reported 25 years ago. Its introduction was an important breakthrough in the endoscopic field. EUS-FNA has now become a part of the diagnostic and staging algorithm for the evaluation of benign and malignant diseases of the gastrointestinal tract and of the organs in its proximity, including lung diseases. This review aims to present the history of EUS-FNA development and to provide a perspective on the recent developments in procedural techniques and needle technologies that have significantly extended the role of EUS and its clinical applications. There is a bright future ahead for EUS-FNA in the years to come as extensive research is conducted in this field and various technologies are continuously implemented into clinical practice.

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