Yıl 2021, Cilt 5 , Sayı 1, Sayfalar 22 - 25 2021-01-01

Retrospective analysis of the use of 22-gauge and 25-gauge needles for EUS-guided fine needle aspiration of solid lesions

Deniz OGUTMEN KOC [1] , Yasemin GÖKDEN [2]


Background/Aim: Data on the comparison of diagnostic yields of 22-gauge (22G) and 25-gauge (25G) needles used in endoscopic ultrasound guided fine needle aspiration (EUS-FNA) biopsy usually include solid pancreatic masses. In our study, we compared the diagnostic yield, safety, and performance characteristics of 22G and 25G needles in the EUS-FNA of various solid lesions in or adjacent to the upper gastrointestinal wall and suspicious lymph nodes. Methods: In this retrospective cohort study, we enrolled patients who underwent EUS-FNA using 22G and 25G needles between August 2018 and January 2020. We compared EUS-FNA results with histological findings in operated patients and long-term clinical follow-up results in non-operated patients. Results: Seventy-nine patients (40 patients with 22G needles) were enrolled. There were pancreatic solid masses in 50 (63.3%) patients, subepithelial lesions in 13 (16.5%), suspicious lymph nodes in 12 (15.2%), and various lesions adjacent to the lumen in 4 (5.1%) patients. The diagnostic yield of 22G and 25G needles were 92.5% and 94.9%, respectively, which were similar (P=0.664). EUS-FNA of 2 pancreatic masses required a crossover from a 22G needle to a 25G needle due to lesion stiffness. The technical success rate for the lesion type was 100% and 95% for 25G and 22G needles, respectively (P=0.160). No major complications were observed with either needle. Conclusions: The 25G needle was not superior to the 22G needle in terms of diagnostic yield and safety profile in EUS-FNA of solid lesions. The use of 25G needles in hard masses can provide ease of puncture.
EUS-FNA, cytopathology, 22-gauge needle, 25-gauge needle
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Birincil Dil en
Konular Gastroenteroloji ve Hepatoloji
Bölüm Araştırma makalesi
Yazarlar

Orcid: 0000-0003-2738-625X
Yazar: Deniz OGUTMEN KOC (Sorumlu Yazar)
Kurum: University of Health Sciences Gaziosmanpasa Training and Research Hospital
Ülke: Turkey


Orcid: 0000-0001-6767-3072
Yazar: Yasemin GÖKDEN
Kurum: University of Health Sciences Cemil Tascıoglu City Hospital
Ülke: Turkey


Tarihler

Yayımlanma Tarihi : 1 Ocak 2021

Bibtex @araştırma makalesi { josam859352, journal = {Journal of Surgery and Medicine}, issn = {}, eissn = {2602-2079}, address = {jsurgmed@gmail.com}, publisher = {Fatih BAŞAK}, year = {2021}, volume = {5}, pages = {22 - 25}, doi = {10.28982/josam.859352}, title = {Retrospective analysis of the use of 22-gauge and 25-gauge needles for EUS-guided fine needle aspiration of solid lesions}, key = {cite}, author = {Ogutmen Koc, Deniz and Gökden, Yasemin} }
APA Ogutmen Koc, D , Gökden, Y . (2021). Retrospective analysis of the use of 22-gauge and 25-gauge needles for EUS-guided fine needle aspiration of solid lesions . Journal of Surgery and Medicine , 5 (1) , 22-25 . DOI: 10.28982/josam.859352
MLA Ogutmen Koc, D , Gökden, Y . "Retrospective analysis of the use of 22-gauge and 25-gauge needles for EUS-guided fine needle aspiration of solid lesions" . Journal of Surgery and Medicine 5 (2021 ): 22-25 <http://jsurgmed.com/tr/pub/issue/59430/859352>
Chicago Ogutmen Koc, D , Gökden, Y . "Retrospective analysis of the use of 22-gauge and 25-gauge needles for EUS-guided fine needle aspiration of solid lesions". Journal of Surgery and Medicine 5 (2021 ): 22-25
RIS TY - JOUR T1 - Retrospective analysis of the use of 22-gauge and 25-gauge needles for EUS-guided fine needle aspiration of solid lesions AU - Deniz Ogutmen Koc , Yasemin Gökden Y1 - 2021 PY - 2021 N1 - doi: 10.28982/josam.859352 DO - 10.28982/josam.859352 T2 - Journal of Surgery and Medicine JF - Journal JO - JOR SP - 22 EP - 25 VL - 5 IS - 1 SN - -2602-2079 M3 - doi: 10.28982/josam.859352 UR - https://doi.org/10.28982/josam.859352 Y2 - 2021 ER -
EndNote %0 Journal of Surgery and Medicine Retrospective analysis of the use of 22-gauge and 25-gauge needles for EUS-guided fine needle aspiration of solid lesions %A Deniz Ogutmen Koc , Yasemin Gökden %T Retrospective analysis of the use of 22-gauge and 25-gauge needles for EUS-guided fine needle aspiration of solid lesions %D 2021 %J Journal of Surgery and Medicine %P -2602-2079 %V 5 %N 1 %R doi: 10.28982/josam.859352 %U 10.28982/josam.859352
ISNAD Ogutmen Koc, Deniz , Gökden, Yasemin . "Retrospective analysis of the use of 22-gauge and 25-gauge needles for EUS-guided fine needle aspiration of solid lesions". Journal of Surgery and Medicine 5 / 1 (Ocak 2021): 22-25 . https://doi.org/10.28982/josam.859352
AMA Ogutmen Koc D , Gökden Y . Retrospective analysis of the use of 22-gauge and 25-gauge needles for EUS-guided fine needle aspiration of solid lesions. J Surg Med. 2021; 5(1): 22-25.
Vancouver Ogutmen Koc D , Gökden Y . Retrospective analysis of the use of 22-gauge and 25-gauge needles for EUS-guided fine needle aspiration of solid lesions. Journal of Surgery and Medicine. 2021; 5(1): 22-25.
IEEE D. Ogutmen Koc ve Y. Gökden , "Retrospective analysis of the use of 22-gauge and 25-gauge needles for EUS-guided fine needle aspiration of solid lesions", Journal of Surgery and Medicine, c. 5, sayı. 1, ss. 22-25, Oca. 2021, doi:10.28982/josam.859352