Endoscopic Ultrasound-Guided Through-the-Needle Biopsy: A Narrative Review of the Technique and Its Emerging Role in Pancreatic Cyst Diagnosis

• Tipo: Outra Publicação em Revista Científica Internacional
• Data: 2024

Autores

Vilas-Boas, F (Autor) Outra; Ribeiro, T (Autor) Outra; Macedo G (Autor) FMUP; Dhar, J (Autor) Outra; Samanta, J (Autor) Outra; Sina, S (Autor) Outra; Manfrin, E (Autor) Outra; Facciorusso, A (Autor) Outra; Conti Bellocchi, MC (Autor) Outra; De Pretis, N (Autor) Outra; Frulloni, L (Autor) Outra; Crinò, SF (Autor) Outra

Revista

Título: Diagnostics

Editora: MDPI

Outras Informações

ID Authenticus: P-015-96Q

DOI: 10.3390/diagnostics14151587

Abstract (EN): <jats:p>Pancreatic cystic lesions (PCLs) pose a diagnostic challenge due to their increasing incidence and the limitations of cross-sectional imaging and endoscopic-ultrasound-guided fine-needle aspiration (EUS-FNA). EUS-guided through the needle biopsy (EUS-TTNB) has emerged as a promising tool for improving the accuracy of cyst type determination and neoplastic risk stratification. EUS-TTNB demonstrates superior diagnostic performance over EUS-FNA, providing critical preoperative information that can significantly influence patient management and reduce unnecessary surgeries. However, the procedure has risks, with an overall adverse event rate of approximately 9%. Preventive measures and further prospective studies are essential to optimize its safety and efficacy. This review highlights the potential of EUS-TTNB to enhance the diagnostic and management approaches for patients with PCLs. It examines the current state of EUS-TTNB, including available devices, indications, procedural techniques, specimen handling, diagnostic yield, clinical impact, and associated adverse events.</jats:p>

Idioma: Inglês

Tipo (Avaliação Docente): Científica