Clinical Endoscopy

The Korean Society of Gastrointestinal Endoscopy (대한소화기내시경학회)
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22-gauge Co-Cr versus stainless-steel Franseen needles for endoscopic ultrasound-guided tissue acquisition in patients with solid pancreatic lesions

  • Yuki Tanisaka (Department of Gastroenterology, Saitama Medical University International Medical Center) ;
  • Masafumi Mizuide (Department of Gastroenterology, Saitama Medical University International Medical Center) ;
  • Akashi Fujita (Department of Gastroenterology, Saitama Medical University International Medical Center) ;
  • Ryuhei Jinushi (Department of Gastroenterology, Saitama Medical University International Medical Center) ;
  • Rie Shiomi (Department of Gastroenterology, Saitama Medical University International Medical Center) ;
  • Takahiro Shin (Department of Gastroenterology, Saitama Medical University International Medical Center) ;
  • Kei Sugimoto (Department of Gastroenterology, Saitama Medical University International Medical Center) ;
  • Tomoaki Tashima (Department of Gastroenterology, Saitama Medical University International Medical Center) ;
  • Yumi Mashimo (Department of Gastroenterology, Saitama Medical University International Medical Center) ;
  • Shomei Ryozawa (Department of Gastroenterology, Saitama Medical University International Medical Center)
  • Received : 2022.12.11
  • Accepted : 2023.03.29
  • Published : 2024.03.30
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Abstract

Background/Aims: Endoscopic ultrasound-guided tissue acquisition (EUS-TA) using Franseen needles is reportedly useful for its high diagnostic yield. This study compared the diagnostic yield and puncturing ability of EUS-TA using 22-gauge cobalt-chromium (CO-Cr) needles with those of stainless-steel Franseen needles in patients with solid pancreatic lesions. Methods: Outcomes were compared between the 22-gauge Co-Cr Franseen needle (December 2019 to November 2020; group C) and stainless-steel needle (November 2020 to May 2022; group S). Results: A total of 155 patients (group C, 75; group S, 80) were eligible. The diagnostic accuracy was 92.0% in group C and 96.3% in group S with no significant intergroup differences (p=0.32). The rate of change in the operator (from training fellows to experts) was 20.0% (15/75) in group C and 7.5% (6/80) in group S. Stainless-steel Franseen needles showed less inter-operator difference than Co-Cr needles (p=0.03). Conclusions: Both Co-Cr and stainless-steel Franseen needles showed high diagnostic ability. Stainless-steel Franseen needles are soft and flexible; therefore, the range of puncture angles can be widely adjusted, making them suitable for training fellows to complete the procedure.

Keywords

Acknowledgement

We are indebted to Prof. Masanori Yasuda for diagnosing the pathological findings.

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