22-gauge Co-Cr versus stainless-steel Franseen needles for endoscopic ultrasound-guided tissue acquisition in patients with solid pancreatic lesions
| Title: | 22-gauge Co-Cr versus stainless-steel Franseen needles for endoscopic ultrasound-guided tissue acquisition in patients with solid pancreatic lesions |
|---|---|
| Authors: | Yuki Tanisaka, Masafumi Mizuide, Akashi Fujita, Ryuhei Jinushi, Rie Shiomi, Takahiro Shin, Kei Sugimoto, Tomoaki Tashima, Yumi Mashimo, Shomei Ryozawa |
| Source: | Clinical Endoscopy, Vol 57, Iss 2, Pp 237-245 (2024) |
| Publisher Information: | Korean Society of Gastrointestinal Endoscopy, 2024. |
| Publication Year: | 2024 |
| Collection: | LCC:Internal medicine LCC:Diseases of the digestive system. Gastroenterology |
| Subject Terms: | endoscopic ultrasound-guided fine-needle aspiration, endosonography, pancreas, pancreatic neoplasms, Internal medicine, RC31-1245, Diseases of the digestive system. Gastroenterology, RC799-869 |
| More Details: | Background/Aims Endoscopic ultrasound-guided tissue acquisition (EUS-TA) using Franseen needles is reportedly useful for its high diagnostic yield. This study compared the diagnostic yield and puncturing ability of EUS-TA using 22-gauge cobalt-chromium (CO-Cr) needles with those of stainless-steel Franseen needles in patients with solid pancreatic lesions. Methods Outcomes were compared between the 22-gauge Co-Cr Franseen needle (December 2019 to November 2020; group C) and stainless-steel needle (November 2020 to May 2022; group S). Results A total of 155 patients (group C, 75; group S, 80) were eligible. The diagnostic accuracy was 92.0% in group C and 96.3% in group S with no significant intergroup differences (p=0.32). The rate of change in the operator (from training fellows to experts) was 20.0% (15/75) in group C and 7.5% (6/80) in group S. Stainless-steel Franseen needles showed less inter-operator difference than Co-Cr needles (p=0.03). Conclusions Both Co-Cr and stainless-steel Franseen needles showed high diagnostic ability. Stainless-steel Franseen needles are soft and flexible; therefore, the range of puncture angles can be widely adjusted, making them suitable for training fellows to complete the procedure. |
| Document Type: | article |
| File Description: | electronic resource |
| Language: | English |
| ISSN: | 2234-2400 2234-2443 |
| Relation: | http://www.e-ce.org/upload/pdf/ce-2023-011.pdf; https://doaj.org/toc/2234-2400; https://doaj.org/toc/2234-2443 |
| DOI: | 10.5946/ce.2023.011 |
| Access URL: | https://doaj.org/article/cd589480384c4c9dbb58a0336e9e8d12 |
| Accession Number: | edsdoj.589480384c4c9dbb58a0336e9e8d12 |
| Database: | Directory of Open Access Journals |
| ISSN: | 22342400 22342443 |
|---|---|
| DOI: | 10.5946/ce.2023.011 |
| Published in: | Clinical Endoscopy |
| Language: | English |