Benign Karaciğer Hastalıklarında Endoskopik Ultrason Eşliğinde İnce İğne Aspirasyonu: Tek Merkez Deneyimi

Year 2023, Volume: 22 Issue: 1, 1 - 5, 30.04.2023

Salih Tokmak Sinem Coşkun Kantarcıoğlu Serkan Torun

https://doi.org/10.17941/agd.1255462

Abstract

Giriş ve Amaç: Endoskopik ultrason kılavuzluğunda karaciğer biyopsisi (EUS-LB) ile ilgili ilk deneyimimizin etkinlik ve güvenlik sonuçlarını bildirmek.

Gereç ve Yöntem: Üçüncü basamak merkezimizde, ileriye dönük olarak tutulan bir veri tabanının geriye dönük analizi yapıldı. Haziran 2022 ile Aralık 2022 tarihleri ​​arasında, benign parankimal hastalıklar nedeniyle, tek geçişli, üç hamleli ve ıslak aspirasyon tekniği ve 19 gauge ince iğne kullanılarak EUS-LB uygulanan ardışık hastalar çalışmaya dahil edildi. Hastaların demografik bilgileri, işlem ile ilgili parametreler ve örneklerin kalitesi değerlendirildi.

Sonuçlar: Teknik başarı %100 idi. Toplam 16 hastadan dördüne yetersiz örnekleme nedeniyle ikinci kez işlem uygulandı. Medyan toplam numune uzunluğu, medyan parça sayısı ve parçalanmış numunelerdeki en uzun parçanın medyan uzunluğu ve tam portal yolların medyan sayısı sırayla 11 mm (aralık, 0,2-2,5), 9,6 (aralık, 0-20), 0,2mm (aralık 0,2-1,5) ve 3,5 (aralık 0-19) olarak bulundu. İşlem sonrası hiçbir hastada yan etki görülmedi.

Sonuç: EUS-LB, diğer karaciğer biyopsi prosedürlerine bir alternatif olabilir, ancak ideal iğne tipini ve tekniğini belirlemek için daha fazla çalışmaya ihtiyaç vardır.

Keywords

endoskopik ultrasonografi, ince iğne aspirasyon biyopsisi, karaciğer hastalıkları

Supporting Institution

Yok

Project Number

Yok

Thanks

Yok

Endoscopic Ultrasound-guided Fine Needle Aspiration for Benign Liver Diseases: Single-center Experience

Abstract

Background and Aim: To report the efficacy and safety results of our initial experience with the endoscopic ultrasound-guided liver biopsy (EUS-LB).

Materials and Method: Retrospective analysis of a prospectively maintained database in a tertiary care referral center. Consecutive patients who had EUS-LB for benign parenchymal diseases, using a 19 gauge fine needle with single-pass, three actuations, and wet suction technique between June 2022 and December 2022 were included. Patient demographics, procedure-related parameters, and the quality of specimens were investigated

Results: The technical success was 100%. Of the 16 patients, four had a second procedure due to inadequate sampling. The median total sample length, the median number of pieces and the median length of the longest piece in fragmented samples, and the median number of complete portal tracts were 11mm (range, 0.2-2.5), 9.6 (range 0-20), 0.2mm (range 0.2-1.5) and 3.5 (range 0-19) respectively. None of the patients had any adverse events following the procedure.

Conclusion: EUS-LB may be an alternative to other liver biopsy procedures but further studies are needed to determine the ideal needle type and technique.

Keywords

endoscopic ultrasonography, fine needle aspiration biopsy, liver diseases

Project Number

Yok

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