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Endoscopic Ultrasound-Guided Through-the-Needle Biopsy: A Narrative Review of the Technique and Its Emerging Role in Pancreatic Cyst Diagnosis.
Vilas-Boas, Filipe; Ribeiro, Tiago; Macedo, Guilherme; Dhar, Jahnvi; Samanta, Jayanta; Sina, Sokol; Manfrin, Erminia; Facciorusso, Antonio; Conti Bellocchi, Maria Cristina; De Pretis, Nicolò; Frulloni, Luca; Crinò, Stefano Francesco.
Afiliación
  • Vilas-Boas F; Gastroenterology Department, Centro Hospitalar e Universitário de São João, Faculdade de Medicina da Universidade do Porto, 4200-349 Porto, Portugal.
  • Ribeiro T; Gastroenterology Department, Centro Hospitalar e Universitário de São João, Faculdade de Medicina da Universidade do Porto, 4200-349 Porto, Portugal.
  • Macedo G; Gastroenterology Department, Centro Hospitalar e Universitário de São João, Faculdade de Medicina da Universidade do Porto, 4200-349 Porto, Portugal.
  • Dhar J; Department of Gastroenterology, Post Graduate Institute of Medical Education and Research, Chandigarh 160012, India.
  • Samanta J; Department of Gastroenterology, Post Graduate Institute of Medical Education and Research, Chandigarh 160012, India.
  • Sina S; Department of Diagnostics and Public Health, University of Verona, 37129 Verona, Italy.
  • Manfrin E; Department of Diagnostics and Public Health, University of Verona, 37129 Verona, Italy.
  • Facciorusso A; Gastroenterology Unit, Department of Medical and Surgical Sciences, University of Foggia, 71122 Foggia, Italy.
  • Conti Bellocchi MC; Gastroenterology and Digestive Endoscopy Unit, University Hospital of Verona, 37134 Verona, Italy.
  • De Pretis N; Gastroenterology and Digestive Endoscopy Unit, University Hospital of Verona, 37134 Verona, Italy.
  • Frulloni L; Gastroenterology and Digestive Endoscopy Unit, University Hospital of Verona, 37134 Verona, Italy.
  • Crinò SF; Gastroenterology and Digestive Endoscopy Unit, University Hospital of Verona, 37134 Verona, Italy.
Diagnostics (Basel) ; 14(15)2024 Jul 23.
Article en En | MEDLINE | ID: mdl-39125463
ABSTRACT
Pancreatic cystic lesions (PCLs) pose a diagnostic challenge due to their increasing incidence and the limitations of cross-sectional imaging and endoscopic-ultrasound-guided fine-needle aspiration (EUS-FNA). EUS-guided through the needle biopsy (EUS-TTNB) has emerged as a promising tool for improving the accuracy of cyst type determination and neoplastic risk stratification. EUS-TTNB demonstrates superior diagnostic performance over EUS-FNA, providing critical preoperative information that can significantly influence patient management and reduce unnecessary surgeries. However, the procedure has risks, with an overall adverse event rate of approximately 9%. Preventive measures and further prospective studies are essential to optimize its safety and efficacy. This review highlights the potential of EUS-TTNB to enhance the diagnostic and management approaches for patients with PCLs. It examines the current state of EUS-TTNB, including available devices, indications, procedural techniques, specimen handling, diagnostic yield, clinical impact, and associated adverse events.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Diagnostics (Basel) Año: 2024 Tipo del documento: Article País de afiliación: Portugal Pais de publicación: Suiza
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Diagnostics (Basel) Año: 2024 Tipo del documento: Article País de afiliación: Portugal Pais de publicación: Suiza