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KMID : 0985520210260030125
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Korean Journal of Pancreas and Biliary Tract
2021 Volume.26 No. 3 p.125 ~ p.147
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Clinical and Technical Guideline for Endoscopic Ultrasound-Guided Tissue Acquisition of Pancreatic Solid Tumor: Korean Society of Gastrointestinal Endoscopy
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Chung Moon-Jae
Park Se-Woo
Kim Seong-Hun
Cho Chang-Min
Choi Jun-Ho
Choi Eun-Kwang
Lee Tae-Hoon
Cho Eun-Ae
Lee Jun-Kyu
Song Tae-Jun
Lee Jae-Min
Son Jun-Hyuk
Park Jin-Seok
Oh Chi-Hyuk
Park Dong-Ah
Byeon Jeong-Sik
Lee Soo-Teik
Kim Ho-Gak
Chun Hoon-Jai
Choi Ho-Soon
Park Chan-Guk
Cho Joo-Young
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Abstract
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Endoscopic ultrasound (EUS)-guided tissue acquisition of pancreatic solid tumor requires a strict recommendation for its proper use in clinical practice because of its technical difficulty and invasiveness. The Korean Society of Gastrointestinal Endoscopy appointed a Task Force to draft clinical practice guidelines for EUS-guided tissue acquisition of pancreatic solid tumor. The strength of recommendation and the level of evidence for each statement were graded according to the Minds Handbook for Clinical Practice Guideline Development 2014. The committee, comprising a development panel of 16 endosonographers and an expert on guideline development methodology, developed 12 evidence-based recommendations in eight categories intended to help physicians make evidence-based clinical judgments with regard to the diagnosis of pancreatic solid tumor. This clinical practice guideline discusses EUS-guided sampling in pancreatic solid tumor and makes recommendations on circumstances that warrant its use, technical issues related to maximizing the diagnostic yield (e.g., needle type, needle diameter, adequate number of needle passes, sample obtaining techniques, and methods of specimen processing), adverse events of EUS-guided tissue acquisition, and learning-related issues. This guideline was reviewed by external experts and suggests best practices recommended based on the evidence available at the time of preparation. This guideline may not be applicable for all clinical situations and should be interpreted in light of specific situations and the availability of resources. It will be revised as necessary to cover progress and changes in technology and evidence from clinical practice.
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KEYWORD
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Endoscopic ultrasound, Pancreatic solid tumor, Tissues, Technique, Guideline
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