Endoscopic ultrasound-guided liver biopsy using a 22-G fine needle biopsy needle: a prospective study

Endoscopy
Muhammad K HasanPeter Pernicone

Abstract

Endoscopic ultrasound-guided liver biopsy (EUS-LB) using a 19-gauge (19-G) EUS needle is becoming increasingly popular. We evaluated the efficacy and safety of a 22-G EUS fine needle biopsy (FNB) needle for performing EUS-LB. Patients referred for evaluation of elevated liver enzymes and without obstructive disease requiring endoscopic retrograde cholangiopancreatography (ERCP) were included. Using a 22-G FNB needle, two passes were made from the left lobe and one from the right. The main outcome measure was adequacy of the specimen for histology interpretation, and the secondary outcome was the safety of EUS-guided liver biopsy with a 22-G FNB needle. Patients were followed for post-procedure complications for 30 days. 40 patients (median age 61 years; 26 women) underwent EUS-LB. Analyzing by needle passes, the median longest core fragment was 12 mm (1st quartile - 3rd quartile 10 mm - 16.25 mm, interquartile range [IQR] 6.25 mm) from the left lobe and 11 mm (10 mm - 15.75 mm, IQR 5.75 mm) from the right lobe. The median cumulative core length per patient was 55 mm (44.5 mm - 68 mm, IQR 23.5 mm). The median cumulative number of complete portal triads (CPTs) per patient was 42 (28.5 - 53, IQR 24.5). The specimen was considered ...Continue Reading

Citations

Mar 8, 2020·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Rintaro Hashimoto, Kenneth J Chang
Sep 22, 2020·European Journal of Gastroenterology & Hepatology·Gurhan SismanHale Kirimlioglu
Mar 29, 2020·World Journal of Gastrointestinal Endoscopy·Kemmian D JohnsonBenjamin Tharian
Jun 20, 2020·Digestive Diseases and Sciences·Rintaro HashimotoKenneth J Chang
Sep 21, 2020·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·John M DeWittUNKNOWN AGA Center for GI Innovation and Technology
Mar 12, 2021·Gastrointestinal Endoscopy·Drew Schembre
Jul 19, 2020·Journal of the American Society of Cytopathology : JASC·Amin K Soltani, Kumar Krishnan
Apr 15, 2021·Gut·Nadeem Akhter TehamiBen Maher
May 9, 2021·Gut·Ji Young BangShyam Varadarajulu
Sep 20, 2020·Gut·John David ChetwoodPayal Saxena
Nov 20, 2021·The American Journal of Gastroenterology·Enad DawodSammy Saab

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