A comparison of the antegrade core trap and reverse bevel needles for EUS-guided fine-needle biopsy sampling of liver mass: a prospective randomized cross over study
| العنوان: | A comparison of the antegrade core trap and reverse bevel needles for EUS-guided fine-needle biopsy sampling of liver mass: a prospective randomized cross over study |
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| المؤلفون: | Pinit Kullavanijaya, Phonthep Angsuwatcharakon, Anapat Sanpavat, Rungsun Rerknimitr, Piyapan Prueksapanich, Thanawat Luangsukrerk, Arlyn R. Cañones, Wiriyaporn Ridtitid, Nutbordee Nalinthassanai, Pradermchai Kongkam, Sombat Treeprasertsuk |
| المصدر: | HPB. 24:797-805 |
| بيانات النشر: | Elsevier BV, 2022. |
| سنة النشر: | 2022 |
| مصطلحات موضوعية: | Core (anatomy), Cross-Over Studies, Hepatology, medicine.diagnostic_test, business.industry, Gastroenterology, Crossover study, Liver mass, Bevel, Endosonography, law.invention, Clinical trial, Liver, Randomized controlled trial, law, Biopsy, Humans, Medicine, Sampling (medicine), Prospective Studies, Nuclear medicine, business, Endoscopic Ultrasound-Guided Fine Needle Aspiration |
| الوصف: | Background Data on the use of EUS-guided fine-needle biopsy (EUS-FNB) of solid liver mass (SLM) for pathology is limited. Methods To prove superiority of the diagnostic rate of the newly designed modified Menghini-type needle with a beveled side-slot near the needle tip with slot cutting edge directed 20-gauge antegrade bevel (group A) over the original 22-gauge reverse bevel (group B) for EUS-guided fine-needle biopsy (EUS-FNB) of solid liver mass (SLM) in a prospective crossover randomized controlled trial. Results The overall diagnostic accuracy rate of the 52 passes was 86.5% (45/52) and of group A versus B were 88.5% (23/26) versus 84.6% (22/26), respectively, p = 0.858. Tissue adequacy levels of both groups were not significantly different (grade A: B: C = 18:6:2 versus 16:7:3), p = 0.839). Grading of blood contamination of both groups was not significantly different. However, it was found that the group-A needles could biopsy tissue of significantly longer length than that of the group B; 1.3 cm (SD = 0.76) versus 0.8 cm (SD = 0.54); p = 0.007. Conclusion The use of EUS-FNB of SLM is highly effective with similar levels of efficacy and number of adverse events between both types of needles. The trial registration number Thai Clinical Trial Registration No. TCTR2018081002. |
| تدمد: | 1365-182X 2018-0810 |
| DOI: | 10.1016/j.hpb.2021.10.009 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::c1fe60aea42d733e20bf43dc28a82fd3 https://doi.org/10.1016/j.hpb.2021.10.009 |
| Rights: | CLOSED |
| رقم الانضمام: | edsair.doi.dedup.....c1fe60aea42d733e20bf43dc28a82fd3 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 1365182X 20180810 |
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| DOI: | 10.1016/j.hpb.2021.10.009 |