Percutaneous fine-needle aspiration biopsy of the pancreas resulting in death

Levin, Daniel; Bret, Patrice M.

doi:10.1007/bf01887307

Cited by 35 publications

(12 citation statements)

References 7 publications

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“…The total complication rate of EUS‐FNA in published series ranged from 0–13% 23,26,27,37–39 . The risk of pancreatitis after EUS‐FNA of solid pancreatic masses in a multicentre US study was 0.28% 40 and in a recent prospective study was 0.85%, 41 while percutaneous FNA of the pancreas was associated with a 3–4% rate of pancreatitis and a mortality rate of 1% 42–44 . No definite association was found between occurrence of a complication and the type and size of the pancreatic lesion, number of passes or history of chronic pancreatitis 41 .…”

Section: Discussionmentioning

confidence: 95%

Endoscopic ultrasound guided fine needle aspiration of solid pancreatic lesions: Performance and outcomes

Fisher

Segarajasingam

Stewart

et al. 2009

J of Gastro and Hepatol

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Section: Discussionmentioning

confidence: 95%

Endoscopic ultrasound guided fine needle aspiration of solid pancreatic lesions: Performance and outcomes

Fisher

Segarajasingam

Stewart

et al. 2009

J of Gastro and Hepatol

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“…Moreover, we have extensively documented acute and 30-day complications associated with EUS-FNA. 4,12,13 The technique, in our hands, has an acceptable and a superior safety profile compared to other imaged-guided percutaneous approaches 14,15 .…”

Section: Discussionmentioning

confidence: 96%

A Prospective Evaluation of an Algorithm Incorporating Routine Preoperative Endoscopic Ultrasound-Guided Fine Needle Aspiration in Suspected Pancreatic Cancer

Eloubeidi

Varadarajulu

Desai

et al. 2007

Journal of Gastrointestinal Surgery

123

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EUS-FNA is a safe and highly accurate method for tissue diagnosis in suspected pancreatic cancer. This approach allows for preoperative counseling of patients, minimizing surgeon's operative time in cases of unresectable disease, and avoids surgical biopsies in the majority of patients with inoperable disease. In addition, it allows for conservative management of patients with benign biopsies. We still, however, recommend exploration of patients with clinical scenario suspicious for pancreatic cancer, a mass found on EUS or CT, but inconclusive or negative cytology.

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“…FNA is an accurate, safe and reliable approach to differentiate between sterile and infected necrosis [22,79]. Complication rates of this procedure are low with only very few serious complications such as bleeding, aggravation of acute pancreatitis or death reported in the literature [80,81]. With bacterial testing including Gram staining and culture of the aspiration material, a diagnostic sensitivity and specificity of 88 and 90%, respectively, has been reported for this procedure when guided by ultrasonography [82].…”

Section: Management Of Acute Pancreatitis In Phase IImentioning

confidence: 99%

Modern Phase-Specific Management of Acute Pancreatitis

Werner

Uhl²,

Hartwig³

et al. 2003

Dig Dis

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The management of acute necrotizing pancreatitis has changed significantly over the past years. In contrast to the early surgical intervention of the past, there is now a strong tendency towards a more conservative approach. Initially, severe acute pancreatitis is characterized by the systemic inflammatory response syndrome. Early management is non-surgically and solely supportive. A specific treatment still does not exist. In cases of necrotizing disease, prophylactic antibiotics should be applied to reduce late septic complications. Today, more patients survive the first phase of severe pancreatitis due to improvements of intensive care medicine, thus increasing the risk of later sepsis. Pancreatic infection is the major risk factor with regard to morbidity and mortality in the second phase of severe acute pancreatitis. Whereas early surgery and surgery for sterile necrosis can only be recommended in selected cases, pancreatic infection is a well-accepted indication for surgical treatment in the second phase of the disease. Surgery should ideally be postponed until 4 weeks after the onset of symptoms, as necrosis is well demarcated at that time. Three surgical techniques can be performed with comparable results regarding mortality: necrosectomy combined with the (1) open packing technique, (2) planned staged relaparotomies with repeated lavage, or (3) closed continuous lavage of the retroperitoneum. However, the latter method seems to be associated with the lowest morbidity compared to the other approaches.

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Percutaneous fine-needle aspiration biopsy of the pancreas resulting in death

Cited by 35 publications

References 7 publications

Endoscopic ultrasound guided fine needle aspiration of solid pancreatic lesions: Performance and outcomes

Endoscopic ultrasound guided fine needle aspiration of solid pancreatic lesions: Performance and outcomes

A Prospective Evaluation of an Algorithm Incorporating Routine Preoperative Endoscopic Ultrasound-Guided Fine Needle Aspiration in Suspected Pancreatic Cancer

Modern Phase-Specific Management of Acute Pancreatitis

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