Eus-Guided Fine-Needle Aspiration (Eus-Fna) in Solid Pancreatic Lesions With 2 Passes Is Equal to 3 Passes in Collecting Adequate Sample for Diagnosis

Dimitriadis, Stavros I.; Tadić, Mario; Turčić, Petra; Štoos‐Veić, Tajana; Miltiadou, Konstantinos; Koukoulioti, Eleni; Lazaridis, Dovena; Gkolfakis, Paraskevas; Triantafyllou, Konstantinos; Vezakis, Αntonios; Polydorou, Andreas; Papanikolaou, I. S.

doi:10.1055/s-0040-1705024

Cited by 1 publication

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“…In case ROSE is not available, a minimum number of punctures from the lesion evaluated should be performed (e.g., 5-7 needle passes for pancreatic adenocarcinoma) [ 9 ]. However, the latter might be refuted by recent, real-world data suggesting that even 2 needle passes in EUS-FNA of solid pancreatic lesions can provide sufficient tissue to facilitate a diagnosis, with no significant incremental tissue yield if 3 passes are performed [ 38 ]. To make things even more challenging, evidence regarding the superiority of any specific technique for sampling pancreatic masses is currently limited and somewhat conflicting.…”

Section: Qis In the Pre-procedures Phasementioning

confidence: 99%

Quality in pancreatic endoscopic ultrasound: what’s new in 2020?

Papanikolaou

Tziatzios

Gkolfakis

et al. 2020

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Quality assessment and improvement of an endoscopic service has emerged as a basic component of everyday gastrointestinal endoscopy. In order to ensure a high level of quality, a series of actions must be adopted when performing an endoscopic examination. Nonetheless, quality still remains a qualitative parameter; thus, implementation of specific indicators of quality is warranted. Irrespective of the nature of the endoscopic procedure, quality indicators usually refer to either structural properties of an endoscopy unit (e.g., examination availability), procedural factors (e.g., diagnostic accuracy), or patient outcomes (e.g., occurrence of an adverse event related to performance of an endoscopic procedure). Moreover, they are usually classified into 3 distinct sections, according to the phase of the procedure they relate to: i.e., before, during, and after the examination. The aim of this review is to present measures that need to be adopted in order to reach an optimal quality level during an endoscopic ultrasound examination and to provide up-to-date data regarding the respective quality indicators implicated.

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Section: Qis In the Pre-procedures Phasementioning

confidence: 99%