Complications of endoscopic ultrasound-guided fine-needle aspiration biopsy (EUS-FNAB) for pancreatic lesions

Yamao, Kenji

doi:10.1007/s00535-005-1695-8

Cited by 24 publications

(8 citation statements)

References 19 publications

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“…In general, the complication rate using 22‐gauge EUS‐FNA needless is 2.5% or less 6–8,18–20 . Two complications regarding 19‐gauge Trucut needles have been reported: in one case, bleeding from the puncture site was managed conservatively; in the other patient mediastinitis required surgical drainage 19 .…”

Section: Introductionmentioning

confidence: 99%

Prospective comparative study of the EUS guided 25‐gauge FNA needle with the 19‐gauge Trucut needle and 22‐gauge FNA needle in patients with solid pancreatic masses

Sakamoto¹,

Kitano²,

Komaki³

et al. 2009

J of Gastro and Hepatol

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215

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The 25-gauge FNA needle was significantly superior in terms of technical success rate and overall diagnostic accuracy, especially for the head and uncinate lesions, compared to the 22-gauge and Trucut needles and could be considered 'the best choice needle for cytological diagnosis' of solid pancreatic lesions. If histological diagnosis is required, the 22-gauge FNA needle and Trucut needle may be advantageous for use in head/uncinate and body/tail lesions, respectively.

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Section: Introductionmentioning

confidence: 99%

Prospective comparative study of the EUS guided 25‐gauge FNA needle with the 19‐gauge Trucut needle and 22‐gauge FNA needle in patients with solid pancreatic masses

Sakamoto¹,

Kitano²,

Komaki³

et al. 2009

J of Gastro and Hepatol

Self Cite

215

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“…By contrast, the incidence of complications in patients who undergo EUS-FNA was reported to be <2%, making EUS-FNA a relatively safe procedure (24,25). In the present study, the overall incidence of PEP was 4%, but the complications of EUS-FNA included only one case of pancreatitis (incidence rate of 1%).…”

Section: Discussionmentioning

confidence: 43%

Evaluation of endoscopic cytological diagnosis of unresectable pancreatic cancer prior to and after the introduction of endoscopic ultrasound-guided fine-needle aspiration

Okabe

Ishida

Sugiyama

et al. 2014

Molecular and Clinical Oncology

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Abstract. With the advances in the multidisciplinary treatment of pancreatic cancer (PC) over the last few years, it is crucial to obtain a histopathological diagnosis prior to treatment. Histopathological diagnosis for unresectable PC is currently performed with endoscopic retrograde cholangiopancreatography (ERCP) in combination with endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA). We retrospectively assessed the results of these two methods and investigated diagnostic performance according to the location of the lesion and the complications. This study was conducted on a series of 263 consecutive cases of unresectable PC diagnosed with endoscopic cytology. Up to 2006, ERCP-guided cytology (group A) was performed as the first choice for the diagnosis of PC. EUS-FNA was introduced in 2007 and became the first choice thereafter (group B), except in cases with obstructive jaundice, in which ERCPguided cytology during endoscopic biliary stenting (EBS) remains the first choice. There were statistically significant differences in the overall cancer-positive rate between groups A and B (60.4 vs. 75.3%, P=0.01). The cancer-positive rate in the pancreatic body and tail was significantly higher in group B (59.5 vs. 83.3%, P=0.005), whereas there were no significant differences regarding cancer of the pancreatic head. The complication rate was 4.95% in group A and 3.09% in group B (P=0.448). The endoscopic cytology cancer-positive rate in unresectable PC cases was increased as a result of the introduction of EUS-FNA. In conclusion, we recommend performing EUS-FNA in combination with ERCP-guided cytology in cases with a lesion in the pancreatic head that requires EBS.

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“…16 Yamao 17 reported that cystic lesions present greater risks of infectious complications and theoretical tumor seeding than solid masses. 17 Therefore, we performed EUS-FNA by avoiding the cystic part in the present case.…”

Section: Discussionmentioning

confidence: 98%

Endoscopic ultrasound-guided fine-needle aspiration for the diagnosis of peripancreatic tuberculous lymphadenitis

et al. 2007

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The percentage of patients with atypical extrapulmonary forms of tuberculosis has been increasing. Among extrapulmonary tuberculosis cases, tuberculosis of the pancreas and peripancreatic lymph nodes is a rare clinical entity. Here, we present a case of peripancreatic tuberculous lymphadenitis diagnosed by endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) both cytologically and microbiologically. A 23-year-old man had a 1-week history of epigastralgia and low-grade fever. Subsequently, he was found to have an abnormality on abdominal ultrasound. A computed tomography scan of the abdomen showed a solitary mass consisting of multiple cystic components with rim enhancement in the peripancreatic portion contiguous to the gall bladder. Endoscopic ultrasound-guided fine-needle aspiration was performed to confirm the diagnosis. The cytological examination revealed epithelioid cells with caseous necrosis, indicating tuberculosis. The aspirated fluid was positive by polymerase chain reaction (PCR) analysis and culture for Mycobacterium tuberculosis. Antituberculosis therapy with isoniazid, rifampicin, ethambutol, and pyrazinamide was started based on the PCR and cytology results, and a good response to the treatment was noted. Endoscopic ultrasound-guided fine-needle aspiration cytology with PCR analysis is very useful for the diagnosis of peripancreatic tuberculosis.

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Complications of endoscopic ultrasound-guided fine-needle aspiration biopsy (EUS-FNAB) for pancreatic lesions

Cited by 24 publications

References 19 publications

Prospective comparative study of the EUS guided 25‐gauge FNA needle with the 19‐gauge Trucut needle and 22‐gauge FNA needle in patients with solid pancreatic masses

Prospective comparative study of the EUS guided 25‐gauge FNA needle with the 19‐gauge Trucut needle and 22‐gauge FNA needle in patients with solid pancreatic masses

Evaluation of endoscopic cytological diagnosis of unresectable pancreatic cancer prior to and after the introduction of endoscopic ultrasound-guided fine-needle aspiration

Endoscopic ultrasound-guided fine-needle aspiration for the diagnosis of peripancreatic tuberculous lymphadenitis

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