Yang X, Liu ZM, Zhou X, Yang F, Ma WZ, Sun XZ, Sun SY, Ge N. Methods to increase the diagnostic efficiency of endoscopic ultrasound-guided fine-needle aspiration for solid pancreatic lesions: An updated review. World J Gastrointest Endosc 2024; 16(3): 117-125 [PMID: 38577648 DOI: 10.4253/wjge.v16.i3.117]
Corresponding Author of This Article
Nan Ge, MD, Professor, Department of Gastroenterology, Shengjing Hospital of China Medical University, No. 36 Sanhao Street, Shenyang 110004, Liaoning Province, China. gen@sj-hospital.org
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Minireviews
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Endosc. Mar 16, 2024; 16(3): 117-125 Published online Mar 16, 2024. doi: 10.4253/wjge.v16.i3.117
Methods to increase the diagnostic efficiency of endoscopic ultrasound-guided fine-needle aspiration for solid pancreatic lesions: An updated review
Xin Yang, Zi-Ming Liu, Xue Zhou, Fan Yang, Wen-Zhuang Ma, Xin-Zhu Sun, Si-Yu Sun, Nan Ge
Xin Yang, Zi-Ming Liu, Xue Zhou, Fan Yang, Wen-Zhuang Ma, Xin-Zhu Sun, Si-Yu Sun, Nan Ge, Department of Gastroenterology, Shengjing Hospital of China Medical University, Shenyang 110004, Liaoning Province, China
Author contributions: Yang X and Liu ZM were responsible for the literature search and manuscript preparation; Zhou X, Yang F, Ma WZ, and Sun XZ were responsible for the literature search; Sun SY reviewed the manuscript; Ge N designed the aim of the editorial and reviewed the manuscript.
Conflict-of-interest statement: All authors have no conflicts of interest to disclose.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Nan Ge, MD, Professor, Department of Gastroenterology, Shengjing Hospital of China Medical University, No. 36 Sanhao Street, Shenyang 110004, Liaoning Province, China. gen@sj-hospital.org
Received: October 19, 2023 Peer-review started: October 19, 2023 First decision: December 19, 2023 Revised: December 30, 2023 Accepted: January 27, 2024 Article in press: January 27, 2024 Published online: March 16, 2024 Processing time: 146 Days and 16 Hours
Abstract
Endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) is a means to procure adequate specimens for histological and cytologic analysis. The ideal EUS-FNA should be safe, accurate, and have a high sample adequacy rate and low adverse events rate. In recent years, many guidelines and trials on EUS-FNA have been published. The purpose of this article is to provide an update on the influence of some of the main factors on the diagnostic efficiency of EUS-FNA as well as a rare but serious complication known as needle tract seeding.
Core Tip: This review evaluates the influencing factors and limitations of endoscopic ultrasound-guided fine-needle aspiration of solid pancreatic lesions. The information presented here highlights multiple factors and the latest results, such as mass size, rapid on-site evaluation, and needle tract seeding for improving diagnostic efficiency. Therefore, this review may be highly beneficial for clinicians focusing on the management of endoscopic ultrasound-guided fine-needle aspiration.