Endoscopy 2021; 53(S 01): S219-S220
DOI: 10.1055/s-0041-1724869
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Diagnostic Yield of EUS FNA in Digestive Tract Masses

N El Moutaoukil
1   Digestive Disease Research Laboratory. Medical School. Mohamed First University, Hepato Gastroenterology Department. Mohamed VI University Hospital, Oujda, Morocco
,
A Taiymi
1   Digestive Disease Research Laboratory. Medical School. Mohamed First University, Hepato Gastroenterology Department. Mohamed VI University Hospital, Oujda, Morocco
,
M Oualgouh
1   Digestive Disease Research Laboratory. Medical School. Mohamed First University, Hepato Gastroenterology Department. Mohamed VI University Hospital, Oujda, Morocco
,
K Rais
2   Medical School. Mohamed First University, Hepato Gastroenterology Department. Mohamed VI University Hospital, Oujda, Morocco
,
FZ Baddi
3   Medical School. Mohamed First University, Pathology Department. Mohamed VI University Hospital, Oujda, Morocco
,
A Bennani
3   Medical School. Mohamed First University, Pathology Department. Mohamed VI University Hospital, Oujda, Morocco
,
A El Mekkaoui
1   Digestive Disease Research Laboratory. Medical School. Mohamed First University, Hepato Gastroenterology Department. Mohamed VI University Hospital, Oujda, Morocco
,
G Kharrasse
1   Digestive Disease Research Laboratory. Medical School. Mohamed First University, Hepato Gastroenterology Department. Mohamed VI University Hospital, Oujda, Morocco
,
A Zazour
1   Digestive Disease Research Laboratory. Medical School. Mohamed First University, Hepato Gastroenterology Department. Mohamed VI University Hospital, Oujda, Morocco
,
W Khannoussi
1   Digestive Disease Research Laboratory. Medical School. Mohamed First University, Hepato Gastroenterology Department. Mohamed VI University Hospital, Oujda, Morocco
,
MZ Ismaili
1   Digestive Disease Research Laboratory. Medical School. Mohamed First University, Hepato Gastroenterology Department. Mohamed VI University Hospital, Oujda, Morocco
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    Aims To evaluate the yield of ultrasound endoscopic guided FNA in the diagnosis of digestive tract masses.

    Methods A retrospective descriptive study, including all patients who had EUS FNA for digestive masses. Data regarding the results of EUS guided FNA were analysed by SPSS software. The size of needle was chosen considering the location and the suspected nature of the mass.

    Results A total of 83 patients were included and 104 EUS FNA. The mean age was 59.5 +/- 13.3 with a male predominance (Sex ratio 1.15). Main indications of EUS FNA were: pancreatic masses in 70 %, submucosal tumors in 11.5 % (oesophagus 2 pts, stomach 8 pts, and rectum 2 pts), peritoneal or retroperitoneal masses 11 %, lymph nodes in 7.7 %. Mean lesion size was 4.2 cm. Needle size was 22G FNA in 66 %, 19G 30 %, and pro core 20G 4 %. The mean pass number was 3 for each FNA. The technique frequently used was slow pull followed by 20cc aspiration in 62.5 %. FNA was conclusive in 85,5 % of patients. Pathological results were: pancreatic adenocarcinoma in 56,3 %; solid and pseudo-papillary pancreatic tumor in 2,8 %, pancreatic lymphoma in 1,4 %, pancreatic metastasis of a lung cancer in 1,4 %, pancreatic adenosquamous carcinoma in 1,4 %, chronic pancreatitis in 1,4 %, paraganglioma in 1,4 %, pancreatic mucinous cystadenoma in 1,4 %, and a pancreatic pseudocyst in 1,4 %. Rectal GIST in 2,8 %, gastric GIST in 1,4 %, gastric adenocarcinoma in 4,2 % and 1,4 % cardial leiomyoma, lymph nodes metastasis in 4,2 %, lymph nodes tuberculosis in 2,8 %.

    One complication was noted with intra cystic haemorrhage during the procedure resolved spontaneously.

    Conclusions The yield of EUS FNA in the diagnosis of digestive masses in our experience was 85,5 %.

    Main indication was pancreatic masses.

    It was a safe procedure with 1 case presenting intra cystic haemorrhage resolved spontaneously.

    Citation El Moutaoukil N, Taiymi A, Oualgouh M et al. eP378 DIAGNOSTIC YIELD OF EUS FNA IN DIGESTIVE TRACT MASSES. Endoscopy 2021; 53: S219.


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    Publication History

    Article published online:
    19 March 2021

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