Mucosal incision‐assisted biopsy versus endoscopic ultrasound‐guided fine‐needle aspiration with a rapid on‐site evaluation for gastric subepithelial lesions: A randomized cross‐over study
| العنوان: | Mucosal incision‐assisted biopsy versus endoscopic ultrasound‐guided fine‐needle aspiration with a rapid on‐site evaluation for gastric subepithelial lesions: A randomized cross‐over study |
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| المؤلفون: | Takashi Osoegawa, Haruei Ogino, Keishi Komori, Yoshihiro Ogawa, Naohiko Harada, Eikichi Ihara, Kosuke Makihara, Soichi Itaba, Shinichi Tsuruta, Kazuhiko Nakamura, Akira Aso, Yosuke Minoda, Hidetaka Yamamoto, Ayako Goto |
| المصدر: | Digestive Endoscopy. 31:413-421 |
| بيانات النشر: | Wiley, 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | Male, Endoscopic ultrasound, medicine.medical_specialty, Endoscopic Mucosal Resection, Site evaluation, law.invention, 03 medical and health sciences, 0302 clinical medicine, Japan, Randomized controlled trial, Stomach Neoplasms, law, Gastroscopy, Biopsy, Humans, Medicine, Radiology, Nuclear Medicine and imaging, Endoscopy, Digestive System, Prospective Studies, skin and connective tissue diseases, Endoscopic Ultrasound-Guided Fine Needle Aspiration, Early Detection of Cancer, Aged, Cross-Over Studies, medicine.diagnostic_test, GiST, business.industry, Gastroenterology, Middle Aged, Crossover study, digestive system diseases, Surgery, body regions, surgical procedures, operative, Fine-needle aspiration, 030220 oncology & carcinogenesis, Female, 030211 gastroenterology & hepatology, business, Complication |
| الوصف: | Objectives This study aimed to compare the diagnostic yield of mucosal incision-assisted biopsy (MIAB) and endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) with a rapid on-site evaluation (ROSE) for gastric subepithelial lesions (SEL) suspected of being gastrointestinal stromal tumors (GIST) with an intraluminal growth pattern. Methods This was a prospective randomized, cross-over multicenter study. The primary outcome was the diagnostic yield of EUS-FNA and MIAB. The secondary outcomes were the technical success rate, complication rate, procedure time and biopsy frequency. Results A total of 47 patients were randomized to the MIAB group (n = 23) and EUS-FNA group (n = 24). There was no significant difference in the diagnostic yield of MIAB and EUS-FNA (91.3% vs 70.8%, P = 0.0746). The complication rates of MIAB and EUS-FNA did not differ to a statistically significant extent. The mean procedure time in the MIAB group was significantly longer than that in the EUS-FNA group (34 vs 26 min, P = 0.0011). Conclusions The diagnostic yield of MIAB was satisfactorily as high as EUS-FNA with ROSE for gastric SEL with an intraluminal growth pattern. |
| تدمد: | 1443-1661 0915-5635 |
| DOI: | 10.1111/den.13367 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::06afe1aa66c67b3e317f509b779d6f78 https://doi.org/10.1111/den.13367 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....06afe1aa66c67b3e317f509b779d6f78 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14431661 09155635 |
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| DOI: | 10.1111/den.13367 |