An international, multi-institution survey on performing EUS-FNA and fine needle biopsy.

EUS-FNA consensus fine needle biopsy survey

Journal

Endoscopic ultrasound
ISSN: 2303-9027
Titre abrégé: Endosc Ultrasound
Pays: China
ID NLM: 101622292

Informations de publication

Date de publication:
Historique:
pubmed: 5 9 2020
medline: 5 9 2020
entrez: 5 9 2020
Statut: ppublish

Résumé

Endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) and fine needle biopsy (FNB) are effective techniques that are widely used for tissue acquisition. However, it remains unclear how to obtain high-quality specimens. Therefore, we conducted a survey of EUS-FNA and FNB techniques to determine practice patterns worldwide and to develop strong recommendations based on the experience of experts in the field. This was a worldwide multi-institutional survey among members of the International Society of EUS Task Force (ISEUS-TF). The survey was administered by E-mail through the SurveyMonkey website. In some cases, percentage agreement with some statements was calculated; in others, the options with the greatest numbers of responses were summarized. Another questionnaire about the level of recommendation was designed to assess the respondents' answers. ISEUS-TF members developed a questionnaire containing 17 questions that was sent to 53 experts. Thirty-five experts completed the survey within the specified period. Among them, 40% and 54.3% performed 50-200 and more than 200 EUS sampling procedures annually, respectively. Some practice patterns regarding FNA/FNB were recommended. This is the first worldwide survey of EUS-FNA and FNB practice patterns. The results showed wide variations in practice patterns. Randomized studies are urgently needed to establish the best approach for optimizing the FNA/FNB procedures.

Sections du résumé

BACKGROUND AND OBJECTIVES OBJECTIVE
Endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) and fine needle biopsy (FNB) are effective techniques that are widely used for tissue acquisition. However, it remains unclear how to obtain high-quality specimens. Therefore, we conducted a survey of EUS-FNA and FNB techniques to determine practice patterns worldwide and to develop strong recommendations based on the experience of experts in the field.
METHODS METHODS
This was a worldwide multi-institutional survey among members of the International Society of EUS Task Force (ISEUS-TF). The survey was administered by E-mail through the SurveyMonkey website. In some cases, percentage agreement with some statements was calculated; in others, the options with the greatest numbers of responses were summarized. Another questionnaire about the level of recommendation was designed to assess the respondents' answers.
RESULTS RESULTS
ISEUS-TF members developed a questionnaire containing 17 questions that was sent to 53 experts. Thirty-five experts completed the survey within the specified period. Among them, 40% and 54.3% performed 50-200 and more than 200 EUS sampling procedures annually, respectively. Some practice patterns regarding FNA/FNB were recommended.
CONCLUSION CONCLUSIONS
This is the first worldwide survey of EUS-FNA and FNB practice patterns. The results showed wide variations in practice patterns. Randomized studies are urgently needed to establish the best approach for optimizing the FNA/FNB procedures.

Identifiants

pubmed: 32883921
pii: 293994
doi: 10.4103/eus.eus_56_20
pmc: PMC7811723
doi:

Types de publication

Journal Article

Langues

eng

Pagination

319-328

Déclaration de conflit d'intérêts

None

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Auteurs

Jintao Guo (J)

Department of Gastroenterology, Sheng Jing Hospital of China Medical University, Shenyang, Liaoning Province, China.

Anand V Sahai (AV)

Center Hospitalier de l'Université de Montréal, Montreal, Canada.

Anthony Teoh (A)

Department of Surgery, Prince of Wales Hospital, Shatin, New Territories, Hong Kong, China.

Paolo Giorgio Arcidiacono (PG)

Pancreato-Biliary Endoscopy and Endosonography Division, Pancreas Translational & Clinical Research Center, San Raffaele Scientific Institute, Milan, Italy.

Alberto Larghi (A)

Digestive Endoscopy Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.

Adrian Saftoiu (A)

Department of Endoscopy, University of Medicine and Pharmacy, Craiova, Romania.

Ali A Siddiqui (AA)

Endoscopy Center, Thomas Jefferson University Hospital, Philadelphia, PA, USA.

Brenda Lucia Arturo Arias (BL)

Endoscopy Center, Medical Research Group University of Manizales, SES University Hospital of Caldas, Caldas, Colombia.

Christian Jenssen (C)

Department of Medical, Krankenhaus Märkisch Oderland Strausberg, Wriezen, Germany.

Douglas G Adler (DG)

Department of Gastroenterology, University of Utah School of Medicine, Salt Lake City, UT, USA.

Sundeep Lakhtakia (S)

Endoscopy Center, Asian Institute of Gastroenterology, Hyderabad, Telangana, India.

Dong-Wan Seo (DW)

Department of Gastroenterology, University of Ulsan College of Medicine, Seoul, South Korea.

Fumihide Itokawa (F)

Department of Gastroenterology and Hepatology, Tokyo Adventist Hospital, Tokyo, Japan.

Marc Giovannini (M)

Department of Gastroenterology, Institute Paoli-Calmettes, Marseille, France.

Girish Mishra (G)

Department of Gastroenterology, Wake Forest Baptist Health, Winston-Salem, North Carolina, USA.

Luis Sabbagh (L)

Department of Gastroenterology, Sanitas University Foundation, Clinica Reina Sofia, Bogota, Colombia.

Atsushi Irisawa (A)

Fukushima Medical University Aizu Medical Center, Aizuwakamatsu, Japan.

Julio Iglesias-Garcia (J)

Endoscopy Center, University Hospital of Santiago de Compostela, Santiago de Compostela, Spain.

Jan Werner Poley (JW)

Erasmus MC University Medical Center Rotterdam, Rotterdam, The Netherlands.

Juan J Vila (JJ)

Department of Gastroenterology, Complejo Hospitalario de Navarra, Pamplona, Spain.

Lachter Jesse (L)

Department of Gastroenterology, Rambam Healthcare Campus, Haifa, Israel.

Kensuke Kubota (K)

Department of Gastroenterology, Yokohama City University School of Medicine, Yokohama, Japan.

Evangelos Kalaitzakis (E)

Department of Gastroenterology, University Hospital of Heraklion, University of Crete, Heraklion, Greece.

Mitsuhiro Kida (M)

Department of Gastroenterology, Kitasato University East Hospital, Sagamihara, Japan.

Mohamed El-Nady (M)

Department of Gastroenterology, Faculty of Medicine, Cairo University, Giza, Egypt.

Sh Untaro Mukai (SU)

Department of Gastroenterology, Tokyo Medical University, Tokyo, Japan.

Takeshi Ogura (T)

Department of Gastroenterology, Osaka Medical College, Osaka, Japan.

Pietro Fusaroli (P)

Department of Gastroenterology, University of Bologna, Bologna, Italy.

Peter Vilmann (P)

Department of Gastroenterology, GastroUnit, Herlev and Gentofte Hospital, Copenhagen University, Copenhagen, Denmark.

Praveer Rai (P)

Department of Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.

Nam Q Nguyen (NQ)

Department of Gastroenterology, Royal Adelaide Hospital, North Terrace, Adelaide, Australia.

Ryan Ponnudurai (R)

Prince Court Medical Center, Kuala Lumpur, Malaysia.

Chalapathi Rao Achanta (CR)

Department of Gastroenterology, KIMS Icon Hospital, Visakhapatnam, Andhra Pradesh, India.

Todd H Baron (TH)

Department of Gastroenterology, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.

Ichiro Yasuda (I)

Department of Gastroenterology, Teikyo University Mizonokuchi Hospital, Kawasaki, Japan.

Hsiu-Po Wang (HP)

Department of Gastroenterology, National Taiwan University Hospital, Taipei, Taiwan, China.

Jinlong Hu (J)

Department of Gastroenterology, Sheng Jing Hospital of China Medical University, Shenyang, Liaoning Province, China.

Bowen Duan (B)

Department of Gastroenterology, Sheng Jing Hospital of China Medical University, Shenyang, Liaoning Province, China.

Manoop S Bhutani (MS)

The University of Texas MD Anderson Cancer Center, Houston, TX, USA.

Siyu Sun (S)

Department of Gastroenterology, Sheng Jing Hospital of China Medical University, Shenyang, Liaoning Province, China.

Classifications MeSH