Comparison of Fork‐tip and Franseen needles for endoscopic ultrasound‐guided fine‐needle biopsy in pancreatic solid lesions: A propensity‐matched analysis
Abstract Objectives There is no unanimity regarding the most appropriate needle to use for an endoscopic ultrasound‐guided fine‐needle biopsy (EUS‐FNB). To date, new types of FNB needles have been designed, including the Fork‐tip and Franseen needles. This study primarily aimed to compare the diagno...
| Main Authors: | , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2023-04-01
|
| Series: | DEN Open |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/deo2.147 |
| _version_ | 1827957606036013056 |
|---|---|
| author | Akashi Fujita Shomei Ryozawa Yuki Tanisaka Tomoya Ogawa Yoichi Saito Hiromune Katsuda Kazuya Miyaguchi Masanori Yasuda Ryuichiro Araki Yumi Mashimo Tomoaki Tashima Yuya Nakano Rie Terada Ryuhei Jinushi Masafumi Mizuide |
| author_facet | Akashi Fujita Shomei Ryozawa Yuki Tanisaka Tomoya Ogawa Yoichi Saito Hiromune Katsuda Kazuya Miyaguchi Masanori Yasuda Ryuichiro Araki Yumi Mashimo Tomoaki Tashima Yuya Nakano Rie Terada Ryuhei Jinushi Masafumi Mizuide |
| author_sort | Akashi Fujita |
| collection | DOAJ |
| description | Abstract Objectives There is no unanimity regarding the most appropriate needle to use for an endoscopic ultrasound‐guided fine‐needle biopsy (EUS‐FNB). To date, new types of FNB needles have been designed, including the Fork‐tip and Franseen needles. This study primarily aimed to compare the diagnostic accuracy and histological quality between the use of the Franseen and Fork‐tip needles in EUS‐FNB for solid pancreatic lesions. Materials and methods We retrospectively analyzed 147 patients at our center for solid pancreatic lesions, 75 of whom underwent EUS‐FNB using a 22‐G Franseen needle, and 72 using a 22‐G Fork‐tip needle, from December 2019 to September 2021. The present study conducted a propensity‐matched analysis and confounder adjustment. Results The diagnostic accuracy of the Fork‐tip group (93.3%, 42/45) was the same as that of the Franseen group. For the core tissue and blood scores, no significant difference was observed (p = 0.58, 0.25) between the two groups. The rate of changes in the operator from that of a trainee to an expert was less in the Fork‐tip group (4.4%, 2/45) than in the Franseen group (15.6%, 7/45), but not significantly different (p = 0.16). Conclusions In both groups, the diagnostic accuracy and histological quality were not significantly different. Additionally, there were no significant differences in the rate of operator changes. As both needles are useful, the choice of using either of them is equally good. |
| first_indexed | 2024-04-09T15:22:38Z |
| format | Article |
| id | doaj.art-77bf55c1ffcd448fa0506eb0cbd1aeb1 |
| institution | Directory Open Access Journal |
| issn | 2692-4609 |
| language | English |
| last_indexed | 2024-04-09T15:22:38Z |
| publishDate | 2023-04-01 |
| publisher | Wiley |
| record_format | Article |
| series | DEN Open |
| spelling | doaj.art-77bf55c1ffcd448fa0506eb0cbd1aeb12023-04-29T05:12:58ZengWileyDEN Open2692-46092023-04-0131n/an/a10.1002/deo2.147Comparison of Fork‐tip and Franseen needles for endoscopic ultrasound‐guided fine‐needle biopsy in pancreatic solid lesions: A propensity‐matched analysisAkashi Fujita0Shomei Ryozawa1Yuki Tanisaka2Tomoya Ogawa3Yoichi Saito4Hiromune Katsuda5Kazuya Miyaguchi6Masanori Yasuda7Ryuichiro Araki8Yumi Mashimo9Tomoaki Tashima10Yuya Nakano11Rie Terada12Ryuhei Jinushi13Masafumi Mizuide14Department of Gastroenterology Saitama Medical University International Medical Center Saitama JapanDepartment of Gastroenterology Saitama Medical University International Medical Center Saitama JapanDepartment of Gastroenterology Saitama Medical University International Medical Center Saitama JapanDepartment of Gastroenterology Saitama Medical University International Medical Center Saitama JapanDepartment of Gastroenterology Saitama Medical University International Medical Center Saitama JapanDepartment of Gastroenterology Saitama Medical University International Medical Center Saitama JapanDepartment of Gastroenterology Saitama Medical University International Medical Center Saitama JapanDepartment of Pathology Saitama Medical University International Medical Center Saitama JapanCommunity Health Science Center Saitama Medical University Saitama JapanDepartment of Gastroenterology Saitama Medical University International Medical Center Saitama JapanDepartment of Gastroenterology Saitama Medical University International Medical Center Saitama JapanDepartment of Gastroenterology Saitama Medical University International Medical Center Saitama JapanDepartment of Gastroenterology Saitama Medical University International Medical Center Saitama JapanDepartment of Gastroenterology Saitama Medical University International Medical Center Saitama JapanDepartment of Gastroenterology Saitama Medical University International Medical Center Saitama JapanAbstract Objectives There is no unanimity regarding the most appropriate needle to use for an endoscopic ultrasound‐guided fine‐needle biopsy (EUS‐FNB). To date, new types of FNB needles have been designed, including the Fork‐tip and Franseen needles. This study primarily aimed to compare the diagnostic accuracy and histological quality between the use of the Franseen and Fork‐tip needles in EUS‐FNB for solid pancreatic lesions. Materials and methods We retrospectively analyzed 147 patients at our center for solid pancreatic lesions, 75 of whom underwent EUS‐FNB using a 22‐G Franseen needle, and 72 using a 22‐G Fork‐tip needle, from December 2019 to September 2021. The present study conducted a propensity‐matched analysis and confounder adjustment. Results The diagnostic accuracy of the Fork‐tip group (93.3%, 42/45) was the same as that of the Franseen group. For the core tissue and blood scores, no significant difference was observed (p = 0.58, 0.25) between the two groups. The rate of changes in the operator from that of a trainee to an expert was less in the Fork‐tip group (4.4%, 2/45) than in the Franseen group (15.6%, 7/45), but not significantly different (p = 0.16). Conclusions In both groups, the diagnostic accuracy and histological quality were not significantly different. Additionally, there were no significant differences in the rate of operator changes. As both needles are useful, the choice of using either of them is equally good.https://doi.org/10.1002/deo2.147endoscopic ultrasoundendoscopic ultrasound‐guided fine‐needle biopsyFranseen needleFork‐tip needlehistology |
| spellingShingle | Akashi Fujita Shomei Ryozawa Yuki Tanisaka Tomoya Ogawa Yoichi Saito Hiromune Katsuda Kazuya Miyaguchi Masanori Yasuda Ryuichiro Araki Yumi Mashimo Tomoaki Tashima Yuya Nakano Rie Terada Ryuhei Jinushi Masafumi Mizuide Comparison of Fork‐tip and Franseen needles for endoscopic ultrasound‐guided fine‐needle biopsy in pancreatic solid lesions: A propensity‐matched analysis DEN Open endoscopic ultrasound endoscopic ultrasound‐guided fine‐needle biopsy Franseen needle Fork‐tip needle histology |
| title | Comparison of Fork‐tip and Franseen needles for endoscopic ultrasound‐guided fine‐needle biopsy in pancreatic solid lesions: A propensity‐matched analysis |
| title_full | Comparison of Fork‐tip and Franseen needles for endoscopic ultrasound‐guided fine‐needle biopsy in pancreatic solid lesions: A propensity‐matched analysis |
| title_fullStr | Comparison of Fork‐tip and Franseen needles for endoscopic ultrasound‐guided fine‐needle biopsy in pancreatic solid lesions: A propensity‐matched analysis |
| title_full_unstemmed | Comparison of Fork‐tip and Franseen needles for endoscopic ultrasound‐guided fine‐needle biopsy in pancreatic solid lesions: A propensity‐matched analysis |
| title_short | Comparison of Fork‐tip and Franseen needles for endoscopic ultrasound‐guided fine‐needle biopsy in pancreatic solid lesions: A propensity‐matched analysis |
| title_sort | comparison of fork tip and franseen needles for endoscopic ultrasound guided fine needle biopsy in pancreatic solid lesions a propensity matched analysis |
| topic | endoscopic ultrasound endoscopic ultrasound‐guided fine‐needle biopsy Franseen needle Fork‐tip needle histology |
| url | https://doi.org/10.1002/deo2.147 |
| work_keys_str_mv | AT akashifujita comparisonofforktipandfranseenneedlesforendoscopicultrasoundguidedfineneedlebiopsyinpancreaticsolidlesionsapropensitymatchedanalysis AT shomeiryozawa comparisonofforktipandfranseenneedlesforendoscopicultrasoundguidedfineneedlebiopsyinpancreaticsolidlesionsapropensitymatchedanalysis AT yukitanisaka comparisonofforktipandfranseenneedlesforendoscopicultrasoundguidedfineneedlebiopsyinpancreaticsolidlesionsapropensitymatchedanalysis AT tomoyaogawa comparisonofforktipandfranseenneedlesforendoscopicultrasoundguidedfineneedlebiopsyinpancreaticsolidlesionsapropensitymatchedanalysis AT yoichisaito comparisonofforktipandfranseenneedlesforendoscopicultrasoundguidedfineneedlebiopsyinpancreaticsolidlesionsapropensitymatchedanalysis AT hiromunekatsuda comparisonofforktipandfranseenneedlesforendoscopicultrasoundguidedfineneedlebiopsyinpancreaticsolidlesionsapropensitymatchedanalysis AT kazuyamiyaguchi comparisonofforktipandfranseenneedlesforendoscopicultrasoundguidedfineneedlebiopsyinpancreaticsolidlesionsapropensitymatchedanalysis AT masanoriyasuda comparisonofforktipandfranseenneedlesforendoscopicultrasoundguidedfineneedlebiopsyinpancreaticsolidlesionsapropensitymatchedanalysis AT ryuichiroaraki comparisonofforktipandfranseenneedlesforendoscopicultrasoundguidedfineneedlebiopsyinpancreaticsolidlesionsapropensitymatchedanalysis AT yumimashimo comparisonofforktipandfranseenneedlesforendoscopicultrasoundguidedfineneedlebiopsyinpancreaticsolidlesionsapropensitymatchedanalysis AT tomoakitashima comparisonofforktipandfranseenneedlesforendoscopicultrasoundguidedfineneedlebiopsyinpancreaticsolidlesionsapropensitymatchedanalysis AT yuyanakano comparisonofforktipandfranseenneedlesforendoscopicultrasoundguidedfineneedlebiopsyinpancreaticsolidlesionsapropensitymatchedanalysis AT rieterada comparisonofforktipandfranseenneedlesforendoscopicultrasoundguidedfineneedlebiopsyinpancreaticsolidlesionsapropensitymatchedanalysis AT ryuheijinushi comparisonofforktipandfranseenneedlesforendoscopicultrasoundguidedfineneedlebiopsyinpancreaticsolidlesionsapropensitymatchedanalysis AT masafumimizuide comparisonofforktipandfranseenneedlesforendoscopicultrasoundguidedfineneedlebiopsyinpancreaticsolidlesionsapropensitymatchedanalysis |