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Factors Affecting The Results of Endoscopic Ultrasound-Guided Fine Needle Aspiration In Subepithelial Lesions of The Gastrointestinal Tract

Article

Last updated: 05 Jan 2025

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Tags

Upper GI Endoscopy

Abstract

Aim: Endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) is a reliable diagnostic method to discriminate gastrointestinal subepithelial lesions (SEL). We aimed to evaluate the factors affecting of EUS-FNA procedure's diagnostic success in SEL.

Method:Between May 2010-March 2020, all patients who underwent EUS-FNA were retrospectively evaluated. Factors effecting success rate (number of passes, needle size, lesion size, lesion localization, endoscopist's experience and presence of on-site cytopathologist) were investigated.

Results:A total of 170 procedures were performed. SEL localization was 36.5% (n=62) esophagus, 55.9% (n=95) stomach. The mean lesion size was 26.5 ± 14.5 mm. Fourty one percent of lesions were <20 mm. In 115 (67.6%) of procedures, cytopatology was diagnostic and most common were spindle cell tumors (SCT) (n=42, 24.7%), followed by gastrointestinal stromal tumors (GIST) (n=31, 18.2%) and leiyomyommas (n=21, 12.4%). EUS-FNA success was higher in SEL >20mm (p=0.02) and endoscopist's experience (p = 0.001). Lesion's localization, layer and echogenicity, needle size, number of passes didn't affect success rate. The lesion size >20 mm (P=0.01), endoscopist's experience (P=0.003) and presence of cell block (P=0.02) were independent predictors for diagnostic success.

Conclusions:EUS-FNA procedure is an effective method, lesion size, endoscopist's experience and presence of cell block increases the yield of cytological diagnosis in SEL.

DOI

10.21608/gg.2024.247621.1020

Keywords

endoscopic ultrasonography, Subepithelial Lesions, fine needle aspiration

Authors

First Name

Serkan

Last Name

Dumanlı

MiddleName

-

Affiliation

Gazi University School of Medicine, Department of Gastroenterology, Ankara,Turkey

Email

s87dumanli@hotmail.com

City

Ankara

Orcid

0000-0002-3597-525X

First Name

Mehmet

Last Name

Bektas

MiddleName

-

Affiliation

Ankara University School of Medicine, Department of Gastroenterology, Ankara, Turkey

Email

mbektas70@hotmail.com

City

ankara

Orcid

0000-0001-7644-4466

First Name

Ramazan

Last Name

Erdem Er

MiddleName

-

Affiliation

Ankara University School of Medicine, Department of Gastroenterology, Ankara, Turkey

Email

ramazanerdemer@hotmail.com

City

Ankara

Orcid

0000-0002-9708-1163

First Name

LUBNA

Last Name

KAMANI

MiddleName

-

Affiliation

NATIONAL STADIUM ROAD KARACHI

Email

lubna.kamani@aku.edu

City

-

Orcid

0000-0003-2651-5179

First Name

Koray

Last Name

Ceyhan

MiddleName

-

Affiliation

Ankara University School of Medicine, Department of Cytopathology, Ankara, Turkey

Email

korayceyhan@yahoo.com

City

Ankara

Orcid

0000-0002-6835-8709

First Name

Tan

Last Name

Attila

MiddleName

-

Affiliation

Koç University School of Medicine, Department of Gastroenterology, İstanbul, Turkey

Email

tanattila2003@yahoo.com

City

Istanbul

Orcid

0000-0002-6803-4632

First Name

Bengi

Last Name

Öztürk

MiddleName

-

Affiliation

Kırıkkale University School of Medicine, Department of Gastroenterology, Ankara,Turkey

Email

bengiozturk_327@yahoo.com

City

Ankara

Orcid

0000-0002-5935-4319.

First Name

Pınar

Last Name

Tulunay

MiddleName

Kubilay

Affiliation

Ankara University School of Medicine, Department of Oncology, Ankara,Turkey

Email

pinar_kubilay@hotmail.com

City

Ankara

Orcid

0000-0003-2636-5326

Volume

2

Article Issue

1

Related Issue

48684

Issue Date

2024-06-01

Receive Date

2023-11-09

Publish Date

2024-06-01

Print ISSN

2974-4245

Online ISSN

2974-4253

Article File

GG3623781717189200.pdf

PDF . 316.8kB

Link

https://gg.journals.ekb.eg/article_362378.html

Detail API

https://gg.journals.ekb.eg/service?article_code=362378

Order

362,378

Type

Original Articles

Type Code

2,690

Publication Type

Journal

Publication Title

Global Gastroenterology

Publication Link

https://gg.journals.ekb.eg/

MainTitle

Factors Affecting The Results of Endoscopic Ultrasound-Guided Fine Needle Aspiration In Subepithelial Lesions of The Gastrointestinal Tract

Details

Type

Article

Created At

18 Dec 2024