Clinical Endoscopy

  • 제55권5호
  • /
  • Pages.637-644
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  • 2022
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  • 2234-2400(pISSN)
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  • 2234-2443(eISSN)
대한소화기내시경학회 (The Korean Society of Gastrointestinal Endoscopy)
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Comparison of diagnostic performances of slow-pull suction and standard suction in endoscopic ultrasound-guided fine needle biopsy for gastrointestinal subepithelial tumors

  • Joon Seop Lee (Department of Internal Medicine, Kyungpook National University School of Medicine) ;
  • Chang Min Cho (Department of Internal Medicine, Kyungpook National University School of Medicine) ;
  • Yong Hwan Kwon (Department of Internal Medicine, Kyungpook National University School of Medicine) ;
  • An Na Seo (Department of Pathology, Kyungpook National University School of Medicine) ;
  • Han Ik Bae (Department of Pathology, Kyungpook National University School of Medicine) ;
  • Man-Hoon Han (Department of Pathology, Kyungpook National University School of Medicine)
  • 투고 : 2021.10.13
  • 심사 : 2021.12.30
  • 발행 : 2022.09.30
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초록

Background/Aims: Endoscopic ultrasound-guided fine-needle biopsy (EUS-FNB) is integral to the diagnosis of gastrointestinal (GI) subepithelial tumors (SETs). The impact of different EUS-FNB tissue sampling techniques on specimen adequacy and diagnostic accuracy in SETs has not been fully evaluated. This study aimed to compare the diagnostic outcomes of slow-pull (SP) and standard suction (SS) in patients with GI SETs. Methods: In this retrospective comparative study, 54 patients were enrolled. Medical records were reviewed for location and size of the target lesion, FNB needle type/size, technical order, specimen adequacy, diagnostic yield, and adverse events. The acquisition rate of adequate specimens and diagnostic accuracy were compared according to EUS-FNB techniques. Results: The mean lesion size was 42.6±36.4 mm, and most patients were diagnosed with GI stromal tumor (75.9%). The overall diagnostic accuracies of the SP and SS techniques were 83.3% and 81.5%, respectively (p=0.800). The rates of obtaining adequate core tissue were 79.6% and 75.9%, respectively (p=0.799). No significant clinical factors affected the rate of obtaining adequate core tissue, including lesion location and size, FNB needle size, and final diagnosis. Conclusions: SP and SS had comparable diagnostic accuracies and adequate core tissue acquisition for GI SETs via EUS-FNB.

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참고문헌

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