Mucosal incision-assisted biopsy versus endoscopic ultrasound-guided fine-needle aspiration with a rapid on-site evaluation for gastric subepithelial lesions

A randomized cross-over study

Takashi Osoegawa, Yosuke Minoda, Eikichi Ihara, Keishi Komori, Akira Aso, Ayako Goto, Soichi Itaba, Haruei Ogino, Kazuhiko Nakamura, Naohiko Harada, Kosuke Makihara, Shinichi Tsuruta, Hidetaka Yamamoto, Yoshihiro Ogawa

研究成果: ジャーナルへの寄稿記事

抄録

Objectives: This study aimed to compare the diagnostic yield of mucosal incision-assisted biopsy (MIAB) and endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) with a rapid on-site evaluation (ROSE) for gastric subepithelial lesions (SEL) suspected of being gastrointestinal stromal tumors (GIST) with an intraluminal growth pattern. Methods: This was a prospective randomized, cross-over multicenter study. The primary outcome was the diagnostic yield of EUS-FNA and MIAB. The secondary outcomes were the technical success rate, complication rate, procedure time and biopsy frequency. Results: A total of 47 patients were randomized to the MIAB group (n = 23) and EUS-FNA group (n = 24). There was no significant difference in the diagnostic yield of MIAB and EUS-FNA (91.3% vs 70.8%, P = 0.0746). The complication rates of MIAB and EUS-FNA did not differ to a statistically significant extent. The mean procedure time in the MIAB group was significantly longer than that in the EUS-FNA group (34 vs 26 min, P = 0.0011). Conclusions: The diagnostic yield of MIAB was satisfactorily as high as EUS-FNA with ROSE for gastric SEL with an intraluminal growth pattern.

元の言語英語
ページ(範囲)413-421
ページ数9
ジャーナルDigestive Endoscopy
31
発行部数4
DOI
出版物ステータス出版済み - 7 1 2019

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Endoscopic Ultrasound-Guided Fine Needle Aspiration
Cross-Over Studies
Stomach
Biopsy
Gastrointestinal Stromal Tumors
Growth
Multicenter Studies

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging
  • Gastroenterology

これを引用

Mucosal incision-assisted biopsy versus endoscopic ultrasound-guided fine-needle aspiration with a rapid on-site evaluation for gastric subepithelial lesions : A randomized cross-over study. / Osoegawa, Takashi; Minoda, Yosuke; Ihara, Eikichi; Komori, Keishi; Aso, Akira; Goto, Ayako; Itaba, Soichi; Ogino, Haruei; Nakamura, Kazuhiko; Harada, Naohiko; Makihara, Kosuke; Tsuruta, Shinichi; Yamamoto, Hidetaka; Ogawa, Yoshihiro.

:: Digestive Endoscopy, 巻 31, 番号 4, 01.07.2019, p. 413-421.

研究成果: ジャーナルへの寄稿記事

Osoegawa, Takashi ; Minoda, Yosuke ; Ihara, Eikichi ; Komori, Keishi ; Aso, Akira ; Goto, Ayako ; Itaba, Soichi ; Ogino, Haruei ; Nakamura, Kazuhiko ; Harada, Naohiko ; Makihara, Kosuke ; Tsuruta, Shinichi ; Yamamoto, Hidetaka ; Ogawa, Yoshihiro. / Mucosal incision-assisted biopsy versus endoscopic ultrasound-guided fine-needle aspiration with a rapid on-site evaluation for gastric subepithelial lesions : A randomized cross-over study. :: Digestive Endoscopy. 2019 ; 巻 31, 番号 4. pp. 413-421.
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abstract = "Objectives: This study aimed to compare the diagnostic yield of mucosal incision-assisted biopsy (MIAB) and endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) with a rapid on-site evaluation (ROSE) for gastric subepithelial lesions (SEL) suspected of being gastrointestinal stromal tumors (GIST) with an intraluminal growth pattern. Methods: This was a prospective randomized, cross-over multicenter study. The primary outcome was the diagnostic yield of EUS-FNA and MIAB. The secondary outcomes were the technical success rate, complication rate, procedure time and biopsy frequency. Results: A total of 47 patients were randomized to the MIAB group (n = 23) and EUS-FNA group (n = 24). There was no significant difference in the diagnostic yield of MIAB and EUS-FNA (91.3{\%} vs 70.8{\%}, P = 0.0746). The complication rates of MIAB and EUS-FNA did not differ to a statistically significant extent. The mean procedure time in the MIAB group was significantly longer than that in the EUS-FNA group (34 vs 26 min, P = 0.0011). Conclusions: The diagnostic yield of MIAB was satisfactorily as high as EUS-FNA with ROSE for gastric SEL with an intraluminal growth pattern.",
author = "Takashi Osoegawa and Yosuke Minoda and Eikichi Ihara and Keishi Komori and Akira Aso and Ayako Goto and Soichi Itaba and Haruei Ogino and Kazuhiko Nakamura and Naohiko Harada and Kosuke Makihara and Shinichi Tsuruta and Hidetaka Yamamoto and Yoshihiro Ogawa",
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T2 - A randomized cross-over study

AU - Osoegawa, Takashi

AU - Minoda, Yosuke

AU - Ihara, Eikichi

AU - Komori, Keishi

AU - Aso, Akira

AU - Goto, Ayako

AU - Itaba, Soichi

AU - Ogino, Haruei

AU - Nakamura, Kazuhiko

AU - Harada, Naohiko

AU - Makihara, Kosuke

AU - Tsuruta, Shinichi

AU - Yamamoto, Hidetaka

AU - Ogawa, Yoshihiro

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Y1 - 2019/7/1

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