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

Guo J 1 , Sahai AV 2 , Teoh A 3 , Arcidiacono PG 4 , Larghi A 5 , Saftoiu A 6 Show all authors , Siddiqui AA 7 , Arturo Arias BL 8 , Jenssen C 9 , Adler DG 10 , Lakhtakia S 11 , Seo DW 12 , Itokawa F 13 , Giovannini M 14 , Mishra G 15 , Sabbagh L 16 , Irisawa A 17 , Iglesias-Garcia J 18 , Poley JW 19 , Vila JJ 20 , Jesse L 21 , Kubota K 22 , Kalaitzakis E 23 , Kida M 24 , El-Nady M 25 , Mukai SU 26 , Ogura T 27 , Fusaroli P 28 , Vilmann P 29 , Rai P 30 , Nguyen NQ 31 , Ponnudurai R 32 , Achanta CR 33 , Baron TH 34 , Yasuda I 35 , Wang HP 36 , Hu J 1 , Duan B 1 , Bhutani MS 37 , Sun S 1

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
Endosc Ultrasound, 2020 9 5;9(5):319-328.
PMID: 32883921 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.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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