Impact of biliary stenting in endoscopic ultrasound‐guided tissue acquisition among patients with pancreatic cancer

Introduction Pancreatic malignancies represent highly fatal diseases with poor prognosis and constantly increasing incidence despite modern diagnostic and therapeutic options. Both endoscopic ultrasound (EUS) and endoscopic retrograde cholangiopancreatography (ERCP) are regarded as mainstays in panc...

Full description

Saved in:
Bibliographic Details
Published in:Journal of clinical ultrasound 2022-07, Vol.50 (6), p.844-849
Main Authors: Constantinescu, Alexandru, Plotogea, Oana‐Mihaela, Stan‐Ilie, Mădălina, Ciurea, Tudorel, Gheonea, Dan Ionut, Ungureanu, Bogdan Silviu, Bălan, Gheorghe, Rinja, Ecaterina, Panic, Nikola, Şandru, Vasile, Constantinescu, Gabriel
Format: Article
Language:English
Subjects:
Bile ducts
biliary stenting
Biopsy
Cancer
Diagnostic systems
endoscopic ultrasound
Endoscopic Ultrasound-Guided Fine Needle Aspiration - methods
Endoscopy
Endosonography
Humans
Implants
Pancreatic cancer
Pancreatic Neoplasms
Pancreatic Neoplasms - diagnostic imaging
Pancreatic Neoplasms - pathology
Retrospective Studies
Stents
tissue acquisition
Tumors
Ultrasonic imaging
Ultrasound
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Introduction Pancreatic malignancies represent highly fatal diseases with poor prognosis and constantly increasing incidence despite modern diagnostic and therapeutic options. Both endoscopic ultrasound (EUS) and endoscopic retrograde cholangiopancreatography (ERCP) are regarded as mainstays in pancreatic cancer management. The present study aims to evaluate whether accuracy EUS with fine‐needle aspiration or biopsy (FNA or FNB) in pancreatic cancer diagnosis is influenced by prior biliary stenting or by technical or anatomical features (stent type, number of needle passes, common bile duct or Wirsung's diameter, topographical characteristics and diameter of the pancreatic tumor). Materials and methods This retrospective study includes 243 patients with pancreatic cancer who underwent ERCP and EUS with fine‐needle aspiration or biopsy (FNA or FNB). Results and discussion Out of the total number of patients, 68 were stented prior to EUS. We found that the EUS‐FNA diagnostic yield is not influenced either by the presence of biliary stent, nor by the type of stent (plastic or metallic). Moreover, the mean needle passes required were similar for both stented patients and not stented ones. Conclusions Ultimately, given our results, we can state that EUS‐FNA/FNB can be safely and accurately performed in the presence of biliary stents. Two hundred and forty‐three pancreatic cancer patients with EUS‐FNA/FNB were included. EUS‐tissue acquisition diagnostic yield was not influenced either by the presence of a biliary stent, nor by the type of stent (plastic or metallic). EUS‐FNA/FNB can be safely and accurately performed in the presence of biliary stents.
ISSN:0091-2751
1097-0096
DOI:10.1002/jcu.23186