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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...
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| Published in: | Journal of clinical ultrasound 2022-07, Vol.50 (6), p.844-849 |
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| creator | 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 |
| description | 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. |
| doi_str_mv | 10.1002/jcu.23186 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2636869996</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2636869996</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3536-2f4220032324991aa319424ef78d68d97a8abb6ec2b24042f09bae6e5e8636b63</originalsourceid><addsrcrecordid>eNp1kUtO5DAQhi3ECHoYFlwAWWIzLAJ-JE68RC1gQEhshnXkOBVwK7GDH2qx4wiccU6CoYEF0qyqXPr8qVQ_QgeUnFBC2OlKpxPGaSO20IISWReESLGNFrnQgtUV3UU_Q1gRQkRVVTtol1esKoWgC5SuplnpiN2AOzMa5Z9wiGCjsffYWAy2d0G72WicxuhVcMn2_55f7pPpocfRhJAAK_2YTDDROIvV5PLXWUWTLQGvTXzIL6s95JHGOrfgf6EfgxoD7H_UPXR3cf53-ae4ub28Wp7dFJpXXBRsKBkjhDPOSimpUpzKkpUw1E0vml7WqlFdJ0CzjpWkZAORnQIBFTSCi07wPfR74529e0wQYjuZoGEclQWXQssy1ggp5Rt69A1dueRt3i5TjaRNnZ2ZOt5Q2rsQPAzt7M2Ur9ZS0r5l0eYs2vcsMnv4YUzdBP0X-Xn8DJxugLUZ4en_pvZ6ebdRvgIrEpUy</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2689187863</pqid></control><display><type>article</type><title>Impact of biliary stenting in endoscopic ultrasound‐guided tissue acquisition among patients with pancreatic cancer</title><source>Wiley</source><creator>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</creator><creatorcontrib>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</creatorcontrib><description>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.</description><identifier>ISSN: 0091-2751</identifier><identifier>EISSN: 1097-0096</identifier><identifier>DOI: 10.1002/jcu.23186</identifier><identifier>PMID: 35254661</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley & Sons, Inc</publisher><subject>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</subject><ispartof>Journal of clinical ultrasound, 2022-07, Vol.50 (6), p.844-849</ispartof><rights>2022 Wiley Periodicals LLC.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3536-2f4220032324991aa319424ef78d68d97a8abb6ec2b24042f09bae6e5e8636b63</citedby><cites>FETCH-LOGICAL-c3536-2f4220032324991aa319424ef78d68d97a8abb6ec2b24042f09bae6e5e8636b63</cites><orcidid>0000-0001-5730-9381</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fjcu.23186$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fjcu.23186$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,786,790,27957,27958,50923,51032</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35254661$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Constantinescu, Alexandru</creatorcontrib><creatorcontrib>Plotogea, Oana‐Mihaela</creatorcontrib><creatorcontrib>Stan‐Ilie, Mădălina</creatorcontrib><creatorcontrib>Ciurea, Tudorel</creatorcontrib><creatorcontrib>Gheonea, Dan Ionut</creatorcontrib><creatorcontrib>Ungureanu, Bogdan Silviu</creatorcontrib><creatorcontrib>Bălan, Gheorghe</creatorcontrib><creatorcontrib>Rinja, Ecaterina</creatorcontrib><creatorcontrib>Panic, Nikola</creatorcontrib><creatorcontrib>Şandru, Vasile</creatorcontrib><creatorcontrib>Constantinescu, Gabriel</creatorcontrib><title>Impact of biliary stenting in endoscopic ultrasound‐guided tissue acquisition among patients with pancreatic cancer</title><title>Journal of clinical ultrasound</title><addtitle>J Clin Ultrasound</addtitle><description>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.</description><subject>Bile ducts</subject><subject>biliary stenting</subject><subject>Biopsy</subject><subject>Cancer</subject><subject>Diagnostic systems</subject><subject>endoscopic ultrasound</subject><subject>Endoscopic Ultrasound-Guided Fine Needle Aspiration - methods</subject><subject>Endoscopy</subject><subject>Endosonography</subject><subject>Humans</subject><subject>Implants</subject><subject>Pancreatic cancer</subject><subject>Pancreatic Neoplasms</subject><subject>Pancreatic Neoplasms - diagnostic imaging</subject><subject>Pancreatic Neoplasms - pathology</subject><subject>Retrospective Studies</subject><subject>Stents</subject><subject>tissue acquisition</subject><subject>Tumors</subject><subject>Ultrasonic imaging</subject><subject>Ultrasound</subject><issn>0091-2751</issn><issn>1097-0096</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNp1kUtO5DAQhi3ECHoYFlwAWWIzLAJ-JE68RC1gQEhshnXkOBVwK7GDH2qx4wiccU6CoYEF0qyqXPr8qVQ_QgeUnFBC2OlKpxPGaSO20IISWReESLGNFrnQgtUV3UU_Q1gRQkRVVTtol1esKoWgC5SuplnpiN2AOzMa5Z9wiGCjsffYWAy2d0G72WicxuhVcMn2_55f7pPpocfRhJAAK_2YTDDROIvV5PLXWUWTLQGvTXzIL6s95JHGOrfgf6EfgxoD7H_UPXR3cf53-ae4ub28Wp7dFJpXXBRsKBkjhDPOSimpUpzKkpUw1E0vml7WqlFdJ0CzjpWkZAORnQIBFTSCi07wPfR74529e0wQYjuZoGEclQWXQssy1ggp5Rt69A1dueRt3i5TjaRNnZ2ZOt5Q2rsQPAzt7M2Ur9ZS0r5l0eYs2vcsMnv4YUzdBP0X-Xn8DJxugLUZ4en_pvZ6ebdRvgIrEpUy</recordid><startdate>202207</startdate><enddate>202207</enddate><creator>Constantinescu, Alexandru</creator><creator>Plotogea, Oana‐Mihaela</creator><creator>Stan‐Ilie, Mădălina</creator><creator>Ciurea, Tudorel</creator><creator>Gheonea, Dan Ionut</creator><creator>Ungureanu, Bogdan Silviu</creator><creator>Bălan, Gheorghe</creator><creator>Rinja, Ecaterina</creator><creator>Panic, Nikola</creator><creator>Şandru, Vasile</creator><creator>Constantinescu, Gabriel</creator><general>John Wiley & Sons, Inc</general><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>M7Z</scope><scope>P64</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-5730-9381</orcidid></search><sort><creationdate>202207</creationdate><title>Impact of biliary stenting in endoscopic ultrasound‐guided tissue acquisition among patients with pancreatic cancer</title><author>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</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3536-2f4220032324991aa319424ef78d68d97a8abb6ec2b24042f09bae6e5e8636b63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Bile ducts</topic><topic>biliary stenting</topic><topic>Biopsy</topic><topic>Cancer</topic><topic>Diagnostic systems</topic><topic>endoscopic ultrasound</topic><topic>Endoscopic Ultrasound-Guided Fine Needle Aspiration - methods</topic><topic>Endoscopy</topic><topic>Endosonography</topic><topic>Humans</topic><topic>Implants</topic><topic>Pancreatic cancer</topic><topic>Pancreatic Neoplasms</topic><topic>Pancreatic Neoplasms - diagnostic imaging</topic><topic>Pancreatic Neoplasms - pathology</topic><topic>Retrospective Studies</topic><topic>Stents</topic><topic>tissue acquisition</topic><topic>Tumors</topic><topic>Ultrasonic imaging</topic><topic>Ultrasound</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Constantinescu, Alexandru</creatorcontrib><creatorcontrib>Plotogea, Oana‐Mihaela</creatorcontrib><creatorcontrib>Stan‐Ilie, Mădălina</creatorcontrib><creatorcontrib>Ciurea, Tudorel</creatorcontrib><creatorcontrib>Gheonea, Dan Ionut</creatorcontrib><creatorcontrib>Ungureanu, Bogdan Silviu</creatorcontrib><creatorcontrib>Bălan, Gheorghe</creatorcontrib><creatorcontrib>Rinja, Ecaterina</creatorcontrib><creatorcontrib>Panic, Nikola</creatorcontrib><creatorcontrib>Şandru, Vasile</creatorcontrib><creatorcontrib>Constantinescu, Gabriel</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biochemistry Abstracts 1</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical ultrasound</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Constantinescu, Alexandru</au><au>Plotogea, Oana‐Mihaela</au><au>Stan‐Ilie, Mădălina</au><au>Ciurea, Tudorel</au><au>Gheonea, Dan Ionut</au><au>Ungureanu, Bogdan Silviu</au><au>Bălan, Gheorghe</au><au>Rinja, Ecaterina</au><au>Panic, Nikola</au><au>Şandru, Vasile</au><au>Constantinescu, Gabriel</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of biliary stenting in endoscopic ultrasound‐guided tissue acquisition among patients with pancreatic cancer</atitle><jtitle>Journal of clinical ultrasound</jtitle><addtitle>J Clin Ultrasound</addtitle><date>2022-07</date><risdate>2022</risdate><volume>50</volume><issue>6</issue><spage>844</spage><epage>849</epage><pages>844-849</pages><issn>0091-2751</issn><eissn>1097-0096</eissn><notes>Oana‐Mihaela Plotogea and Mădălina Stan‐Ilie contributed equally as the first author.</notes><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><abstract>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.</abstract><cop>Hoboken, USA</cop><pub>John Wiley & Sons, Inc</pub><pmid>35254661</pmid><doi>10.1002/jcu.23186</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0001-5730-9381</orcidid></addata></record> |
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| 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 |
| title | Impact of biliary stenting in endoscopic ultrasound‐guided tissue acquisition among patients with pancreatic cancer |
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