An international, multi-institution survey on performing EUS-FNA and fine needle biopsy

Jintao Guo¹, Anand V Sahai², Anthony Teoh³, Paolo Giorgio Arcidiacono⁴, Alberto Larghi⁵, Adrian Saftoiu⁶, Ali A Siddiqui⁷, Brenda Lucia Arturo Arias⁸, Christian Jenssen⁹, Douglas G Adler¹⁰, Sundeep Lakhtakia¹¹, Dong-Wan Seo¹², Fumihide Itokawa¹³, Marc Giovannini¹⁴, Girish Mishra¹⁵, Luis Sabbagh¹⁶, Atsushi Irisawa¹⁷, Julio Iglesias-Garcia¹⁸, Jan Werner Poley¹⁹, Juan J Vila²⁰, Lachter Jesse²¹, Kensuke Kubota²², Evangelos Kalaitzakis²³, Mitsuhiro Kida²⁴, Mohamed El-Nady²⁵, Sh Untaro Mukai²⁶, Takeshi Ogura²⁷, Pietro Fusaroli²⁸, Peter Vilmann²⁹, Praveer Rai³⁰, Nam Q Nguyen³¹, Ryan Ponnudurai³², Chalapathi Rao Achanta³³, Todd H Baron³⁴, Ichiro Yasuda³⁵, Hsiu-Po Wang³⁶, Jinlong Hu¹, Bowen Duan¹, Manoop S Bhutani³⁷, Siyu Sun¹

Affiliations

¹ Department of Gastroenterology, Sheng Jing Hospital of China Medical University, Shenyang, Liaoning Province, China.
² Center Hospitalier de l'Université de Montréal, Montreal, Canada.
³ Department of Surgery, Prince of Wales Hospital, Shatin, New Territories, Hong Kong, China.
⁴ Pancreato-Biliary Endoscopy and Endosonography Division, Pancreas Translational & Clinical Research Center, San Raffaele Scientific Institute, Milan, Italy.
⁵ Digestive Endoscopy Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
⁶ Department of Endoscopy, University of Medicine and Pharmacy, Craiova, Romania.
⁷ Endoscopy Center, Thomas Jefferson University Hospital, Philadelphia, PA, USA.
⁸ Endoscopy Center, Medical Research Group University of Manizales, SES University Hospital of Caldas, Caldas, Colombia.
⁹ Department of Medical, Krankenhaus Märkisch Oderland Strausberg, Wriezen, Germany.
¹⁰ Department of Gastroenterology, University of Utah School of Medicine, Salt Lake City, UT, USA.
¹¹ Endoscopy Center, Asian Institute of Gastroenterology, Hyderabad, Telangana, India.
¹² Department of Gastroenterology, University of Ulsan College of Medicine, Seoul, South Korea.
¹³ Department of Gastroenterology and Hepatology, Tokyo Adventist Hospital, Tokyo, Japan.
¹⁴ Department of Gastroenterology, Institute Paoli-Calmettes, Marseille, France.
¹⁵ Department of Gastroenterology, Wake Forest Baptist Health, Winston-Salem, North Carolina, USA.
¹⁶ Department of Gastroenterology, Sanitas University Foundation, Clinica Reina Sofia, Bogota, Colombia.
¹⁷ Fukushima Medical University Aizu Medical Center, Aizuwakamatsu, Japan.
¹⁸ Endoscopy Center, University Hospital of Santiago de Compostela, Santiago de Compostela, Spain.
¹⁹ Erasmus MC University Medical Center Rotterdam, Rotterdam, The Netherlands.
²⁰ Department of Gastroenterology, Complejo Hospitalario de Navarra, Pamplona, Spain.
²¹ Department of Gastroenterology, Rambam Healthcare Campus, Haifa, Israel.
²² Department of Gastroenterology, Yokohama City University School of Medicine, Yokohama, Japan.
²³ Department of Gastroenterology, University Hospital of Heraklion, University of Crete, Heraklion, Greece.
²⁴ Department of Gastroenterology, Kitasato University East Hospital, Sagamihara, Japan.
²⁵ Department of Gastroenterology, Faculty of Medicine, Cairo University, Giza, Egypt.
²⁶ Department of Gastroenterology, Tokyo Medical University, Tokyo, Japan.
²⁷ Department of Gastroenterology, Osaka Medical College, Osaka, Japan.
²⁸ Department of Gastroenterology, University of Bologna, Bologna, Italy.
²⁹ Department of Gastroenterology, GastroUnit, Herlev and Gentofte Hospital, Copenhagen University, Copenhagen, Denmark.
³⁰ Department of Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
³¹ Department of Gastroenterology, Royal Adelaide Hospital, North Terrace, Adelaide, Australia.
³² Prince Court Medical Center, Kuala Lumpur, Malaysia.
³³ Department of Gastroenterology, KIMS Icon Hospital, Visakhapatnam, Andhra Pradesh, India.
³⁴ Department of Gastroenterology, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
³⁵ Department of Gastroenterology, Teikyo University Mizonokuchi Hospital, Kawasaki, Japan.
³⁶ Department of Gastroenterology, National Taiwan University Hospital, Taipei, Taiwan, China.
³⁷ The University of Texas MD Anderson Cancer Center, Houston, TX, USA.

PMID: 32883921
PMCID: PMC7811723
DOI: 10.4103/eus.eus_56_20

An international, multi-institution survey on performing EUS-FNA and fine needle biopsy

Jintao Guo et al. Endosc Ultrasound. 2020 Sep-Oct.

. 2020 Sep-Oct;9(5):319-328.

doi: 10.4103/eus.eus_56_20.

Authors

Affiliations

¹ Department of Gastroenterology, Sheng Jing Hospital of China Medical University, Shenyang, Liaoning Province, China.
² Center Hospitalier de l'Université de Montréal, Montreal, Canada.
³ Department of Surgery, Prince of Wales Hospital, Shatin, New Territories, Hong Kong, China.
⁴ Pancreato-Biliary Endoscopy and Endosonography Division, Pancreas Translational & Clinical Research Center, San Raffaele Scientific Institute, Milan, Italy.
⁵ Digestive Endoscopy Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
⁶ Department of Endoscopy, University of Medicine and Pharmacy, Craiova, Romania.
⁷ Endoscopy Center, Thomas Jefferson University Hospital, Philadelphia, PA, USA.
⁸ Endoscopy Center, Medical Research Group University of Manizales, SES University Hospital of Caldas, Caldas, Colombia.
⁹ Department of Medical, Krankenhaus Märkisch Oderland Strausberg, Wriezen, Germany.
¹⁰ Department of Gastroenterology, University of Utah School of Medicine, Salt Lake City, UT, USA.
¹¹ Endoscopy Center, Asian Institute of Gastroenterology, Hyderabad, Telangana, India.
¹² Department of Gastroenterology, University of Ulsan College of Medicine, Seoul, South Korea.
¹³ Department of Gastroenterology and Hepatology, Tokyo Adventist Hospital, Tokyo, Japan.
¹⁴ Department of Gastroenterology, Institute Paoli-Calmettes, Marseille, France.
¹⁵ Department of Gastroenterology, Wake Forest Baptist Health, Winston-Salem, North Carolina, USA.
¹⁶ Department of Gastroenterology, Sanitas University Foundation, Clinica Reina Sofia, Bogota, Colombia.
¹⁷ Fukushima Medical University Aizu Medical Center, Aizuwakamatsu, Japan.
¹⁸ Endoscopy Center, University Hospital of Santiago de Compostela, Santiago de Compostela, Spain.
¹⁹ Erasmus MC University Medical Center Rotterdam, Rotterdam, The Netherlands.
²⁰ Department of Gastroenterology, Complejo Hospitalario de Navarra, Pamplona, Spain.
²¹ Department of Gastroenterology, Rambam Healthcare Campus, Haifa, Israel.
²² Department of Gastroenterology, Yokohama City University School of Medicine, Yokohama, Japan.
²³ Department of Gastroenterology, University Hospital of Heraklion, University of Crete, Heraklion, Greece.
²⁴ Department of Gastroenterology, Kitasato University East Hospital, Sagamihara, Japan.
²⁵ Department of Gastroenterology, Faculty of Medicine, Cairo University, Giza, Egypt.
²⁶ Department of Gastroenterology, Tokyo Medical University, Tokyo, Japan.
²⁷ Department of Gastroenterology, Osaka Medical College, Osaka, Japan.
²⁸ Department of Gastroenterology, University of Bologna, Bologna, Italy.
²⁹ Department of Gastroenterology, GastroUnit, Herlev and Gentofte Hospital, Copenhagen University, Copenhagen, Denmark.
³⁰ Department of Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
³¹ Department of Gastroenterology, Royal Adelaide Hospital, North Terrace, Adelaide, Australia.
³² Prince Court Medical Center, Kuala Lumpur, Malaysia.
³³ Department of Gastroenterology, KIMS Icon Hospital, Visakhapatnam, Andhra Pradesh, India.
³⁴ Department of Gastroenterology, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
³⁵ Department of Gastroenterology, Teikyo University Mizonokuchi Hospital, Kawasaki, Japan.
³⁶ Department of Gastroenterology, National Taiwan University Hospital, Taipei, Taiwan, China.
³⁷ The University of Texas MD Anderson Cancer Center, Houston, TX, USA.

PMID: 32883921
PMCID: PMC7811723
DOI: 10.4103/eus.eus_56_20

Abstract

Background and objectives: Endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) and fine needle biopsy (FNB) are effective techniques that are widely used for tissue acquisition. However, it remains unclear how to obtain high-quality specimens. Therefore, we conducted a survey of EUS-FNA and FNB techniques to determine practice patterns worldwide and to develop strong recommendations based on the experience of experts in the field.

Methods: This was a worldwide multi-institutional survey among members of the International Society of EUS Task Force (ISEUS-TF). The survey was administered by E-mail through the SurveyMonkey website. In some cases, percentage agreement with some statements was calculated; in others, the options with the greatest numbers of responses were summarized. Another questionnaire about the level of recommendation was designed to assess the respondents' answers.

Results: ISEUS-TF members developed a questionnaire containing 17 questions that was sent to 53 experts. Thirty-five experts completed the survey within the specified period. Among them, 40% and 54.3% performed 50-200 and more than 200 EUS sampling procedures annually, respectively. Some practice patterns regarding FNA/FNB were recommended.

Conclusion: This is the first worldwide survey of EUS-FNA and FNB practice patterns. The results showed wide variations in practice patterns. Randomized studies are urgently needed to establish the best approach for optimizing the FNA/FNB procedures.

Keywords: EUS-FNA; consensus; fine needle biopsy; survey.

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Conflict of interest statement

None

References

1. Kong F, Kong X, Zhu J, et al. A prospective comparison of conventional cytology and digital image analysis for the identification of pancreatic malignancy in patients undergoing EUS-FNA. Endosc Ultrasound. 2019;8:269–76. - PMC - PubMed
1. Ishikawa T, Kawashima H, Ohno E, et al. Clinical impact of EUS-guided fine needle biopsy using a novel franseen needle for histological assessment of pancreatic diseases. Can J Gastroenterol Hepatol. 2019;2019:8581743. - PMC - PubMed
1. Stavropoulos SN, Im GY, Jlayer Z, et al. High yield of same-session EUS-guided liver biopsy by 19-gauge FNA needle in patients undergoing EUS to exclude biliary obstruction. Gastrointest Endosc. 2012;75:310–8. - PubMed
1. Patel S, Jinjuvadia R, Devara A, et al. Performance characteristics of EUS-FNA biopsy for adrenal lesions: A meta-analysis. Endosc Ultrasound. 2019;8:180–7. - PMC - PubMed
1. Bang JY, Kirtane S, Krall K, et al. In memoriam: Fine-needle aspiration, birth: Fine-needle biopsy: The changing trend in endoscopic ultrasound-guided tissue acquisition. Dig Endosc. 2019;31:197–202. - PubMed

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An international, multi-institution survey on performing EUS-FNA and fine needle biopsy

Affiliations

An international, multi-institution survey on performing EUS-FNA and fine needle biopsy

Authors

Affiliations

Abstract

Conflict of interest statement

References

LinkOut - more resources

Full Text Sources

Miscellaneous