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KMID : 1188320230170020328
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Gut and Liver
2023 Volume.17 No. 2 p.328 ~ p.336
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Current Practice Patterns of Endoscopic Ultrasound-Guided Tissue Sampling for Pancreatic Solid Mass in Korea: Outcomes of a National Survey
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Ahn Dong-Won
Chon Hyung-Ku
Moon Sung-Hoon
Park Sang-Wook
Paik Woo-Hyun
Hong Jin-Pyo
Yeom Chan-Woo
Song Tae-Jun
Lee Eaum-Seok
Lee Yun-Nah
Lee Yoon-Suk
Lee Jae-Min
Jeon Tae-Joo
Park Chang-Hwan
Cho Kwang-Bum
Lee Dong-Wook
Kim Hong-Ja
Yoon Seung-Bae
Chung Kwang-Hyun
Park Jin-Seok
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Abstract
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Background/Aims: Although endoscopic ultrasound (EUS)-guided fine needle aspiration (FNA) and fine needle biopsy (FNB) are widely used for tissue acquisition of pancreatic solid mass, the optimal strategy of this procedure has not been established yet. The aim of this nationwide study was to investigate the current practice patterns of EUS-FNA/FNB for pancreatic solid mass in Korea.
Methods: The Policy-Quality Management of the Korean Pancreatobiliary Association (KPBA) developed a questionnaire containing 22 questions. An electronic survey consisting of the questionnaire was distributed by e-mail to members registered to the KPBA.
Results: A total of 101 respondents completed the survey. Eighty respondents (79.2%) performed preoperative EUS-FNA/FNB for operable pancreatic solid mass. Acquire needles (60.4%) were used the most, followed by ProCore needles (47.5%). In terms of need size, most respondents (>80%) preferred 22-gauge needles regardless of the location of the mass. Negative suction with a 10-mL syringe (71.3%) as sampling technique was followed by stylet slow-pull (41.6%). More than three needle passes for EUS-FNA/FNB was performed by most respondents (>80%). The frequency of requiring repeated procedure was significantly higher in respondents with a low individual volume (<5 per month, p=0.001). Prophylactic antibiotics were routinely used in 39 respondents (38.6%); rapid on-site pathologic evaluation was used in 6.1%.
Conclusions: According to this survey, practices of EUS-FNA/FNB for pancreatic solid mass varied substantially, some of which differed considerably from the recommendations present in existing guidelines. These results suggest that the development of evidence-based quality guidelines fitting Korean clinical practice is needed to establish the optimal strategy for this procedure.
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KEYWORD
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Endoscopic ultrasound-guided fine needle aspiration, Pancreatic neoplasms, Survey, Korea
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