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Current Practice Patterns of Endoscopic Ultrasound-Guided Tissue Sampling for Pancreatic Solid Mass in Korea: Outcomes of a National Survey

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Author(s)
Dong-Won AhnHyung Ku ChonSung-Hoon MoonSang Wook ParkWoo Hyun PaikChang Nyol PaikByoung Kwan SonTae Jun SongEaum Seok LeeYun Nah LeeYoon Suk LeeJae Min LeeTae Joo JeonChang Hwan ParkKwang Bum ChoDong Wook LeeHong Ja KimSeung Bae YoonKwang Hyun ChungJin-Seok Park
Keimyung Author(s)
Cho, Kwang Bum
Department
Dept. of Internal Medicine (내과학)
Journal Title
Gut Liver
Issued Date
2023
Volume
17
Issue
2
Keyword
ndoscopic ultrasound-guided fine needle aspirationKoreaPancreatic neoplasmsSurvey
Abstract
Background/aims:
Although endoscopic ultrasound (EUS)-guided fine needle aspiration (FNA) and fine needle biopsy (FNB) are widely used for tissue acquisition of pancreatic solid mass, the optimal strategy of this procedure has not been established yet. The aim of this nationwide study was to investigate the current practice patterns of EUS-FNA/FNB for pancreatic solid mass in Korea.

Methods:
The Policy-Quality Management of the Korean Pancreatobiliary Association (KPBA) developed a questionnaire containing 22 questions. An electronic survey consisting of the questionnaire was distributed by e-mail to members registered to the KPBA.

Results:
A total of 101 respondents completed the survey. Eighty respondents (79.2%) performed preoperative EUS-FNA/FNB for operable pancreatic solid mass. Acquire needles (60.4%) were used the most, followed by ProCore needles (47.5%). In terms of need size, most respondents (>80%) preferred 22-gauge needles regardless of the location of the mass. Negative suction with a 10-mL syringe (71.3%) as sampling technique was followed by stylet slow-pull (41.6%). More than three needle passes for EUS-FNA/FNB was performed by most respondents (>80%). The frequency of requiring repeated procedure was significantly higher in respondents with a low individual volume (<5 per month, p=0.001). Prophylactic antibiotics were routinely used in 39 respondents (38.6%); rapid on-site pathologic evaluation was used in 6.1%.

Conclusions:
According to this survey, practices of EUS-FNA/FNB for pancreatic solid mass varied substantially, some of which differed considerably from the recommendations present in existing guidelines. These results suggest that the development of evidence-based quality guidelines fitting Korean clinical practice is needed to establish the optimal strategy for this procedure.
Keimyung Author(s)(Kor)
조광범
Publisher
School of Medicine (의과대학)
Type
Article
ISSN
2005-1212
Source
https://www.gutnliver.org/journal/view.html?doi=10.5009/gnl220131
DOI
10.5009/gnl220131
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/44940
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
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