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Galileu Ferreira Ayala Farias 2 Articles
Stent versus Balloon Dilation for the Treatment of Dominant Strictures in Primary Sclerosing Cholangitis: A Systematic Review and Meta-Analysis
Marina Tucci Gammaro Baldavira Ferreira, Igor Braga Ribeiro, Diogo Turiani Hourneaux de Moura, Thomas R. McCarty, Alberto Machado da Ponte Neto, Galileu Ferreira Ayala Farias, Antônio Afonso de Miranda Neto, Pedro Victor Aniz Gomes de Oliveira, Wanderley Marques Bernardo, Eduardo Guimarães Hourneaux de Moura
Clin Endosc 2021;54(6):833-842.   Published online July 1, 2021
AbstractAbstract PDFPubReaderePub
/Aims: The endoscopic management of primary sclerosing cholangitis (PSC)-associated dominant strictures remains challenging. This systematic review and meta-analysis aimed to compare balloon dilation and stent placement in the treatment of dominant strictures among PSC patients.
Literature searches on MEDLINE, EMBASE, Cochrane CENTRAL and Lilacs/Bireme were performed for studies published until December 2020. Measured outcomes included clinical efficacy, stricture recurrence, cumulative recurrencefree rate, transplant rate, 5-year survival rate, and adverse events (i.e., pancreatitis, cholangitis, bleeding, perforation and death).
A total of 5 studies (n=467) were included. Based on pooled analyses, there were no differences in clinical efficacy (risk difference [RD], -0.13; 95% confidence interval [CI], -0.58 to 0.33; I2=93%) or transplant rates (RD, -0.09; 95% CI, -0.19 to 0.01; I2=0%); however, the risk of occurrence of adverse events was lower with balloon dilatation than with stent placement (RD,-0.34; 95% CI, -0.45 to -0.23; I2=61%). Among the types of adverse events reported, only the rates of cholangitis/bacteremia were significantly lower in balloon dilation patients (RD, -0.19; 95% CI, -0.25 to -0.13; I2=51%).
Compared to balloon dilation, stent placement for dominant strictures in PSC appeared to have higher complication rates without significant differences in efficacy.


Citations to this article as recorded by  
  • Treatment of Non-Anastomotic Biliary Strictures after Liver Transplantation: How Effective Is Our Current Treatment Strategy?
    Florian A. Michael, Mireen Friedrich-Rust, Hans-Peter Erasmus, Christiana Graf, Olivier Ballo, Mate Knabe, Dirk Walter, Christoph D. Steup, Marcus M. Mücke, Victoria T. Mücke, Kai H. Peiffer, Esra Görgülü, Antonia Mondorf, Wolf O. Bechstein, Natalie Filma
    Journal of Clinical Medicine.2023; 12(10): 3491.     CrossRef
  • Treatment of primary sclerosing cholangitis combined with inflammatory bowel disease
    You Sun Kim, Edward H. Hurley, Yoojeong Park, Sungjin Ko
    Intestinal Research.2023; 21(4): 420.     CrossRef
  • Liver Transplantation for Primary Sclerosing Cholangitis (PSC) With or Without Inflammatory Bowel Disease (IBD)—A European Society of Organ Transplantation (ESOT) Consensus Statement
    M. Carbone, A. Della Penna, C. Mazzarelli, E. De Martin, C. Villard, A. Bergquist, P. D. Line, J. M. Neuberger, S. Al-Shakhshir, P. J. Trivedi, U. Baumann, L. Cristoferi, J. Hov, B. Fischler, N. H. Hadzic, D. Debray, L. D’Antiga, N. Selzner, L. S. Belli,
    Transplant International.2023;[Epub]     CrossRef
  • Primary Biliary Cholangitis and Primary Sclerosing Cholangitis: Current Knowledge of Pathogenesis and Therapeutics
    Ji-Won Park, Jung-Hee Kim, Sung-Eun Kim, Jang Han Jung, Myoung-Kuk Jang, Sang-Hoon Park, Myung-Seok Lee, Hyoung-Su Kim, Ki Tae Suk, Dong Joon Kim
    Biomedicines.2022; 10(6): 1288.     CrossRef
  • Use a biodegradable stent in ERCP and it will never be forgotten
    Jesús García-Cano, Eva de la Santa Belda, Francisco Domper
    Revista Española de Enfermedades Digestivas.2022;[Epub]     CrossRef
  • Endoscopic stenting of dominant strictures in patients with primary sclerosing cholangitis: When, how, and for how long?
    Il Sang Shin, Jong Ho Moon
    Endoscopy International Open.2022; 10(09): E1169.     CrossRef
  • 4,148 View
  • 115 Download
  • 8 Web of Science
  • 6 Crossref
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Endoscopic Ultrasound Fine-Needle Aspiration versus Fine-Needle Biopsy for Lymph Node Diagnosis: A Large Multicenter Comparative Analysis
Diogo Turiani Hourneaux de Moura, Thomas R. McCarty, Pichamol Jirapinyo, Igor Braga Ribeiro, Galileu Ferreira Ayala Farias, Marvin Ryou, Linda S. Lee, Christopher C. Thompson
Clin Endosc 2020;53(5):600-610.   Published online December 3, 2019
AbstractAbstract PDFPubReaderePub
/Aims: Endoscopic ultrasound fine-needle aspiration (EUS-FNA) is preferred for sampling of lymph nodes (LNs) adjacent to the gastrointestinal wall; however, fine-needle biopsy (FNB) may provide improved diagnostic outcomes. This study aimed to evaluate the comparative efficacy and safety of FNA versus FNB for LN sampling.
This was a multicenter retrospective study of prospectively collected data to evaluate outcomes of EUS-FNA and EUS-FNB for LN sampling. Characteristics analyzed included sensitivity, specificity, accuracy, the number of needle passes, diagnostic adequacy of rapid on-site evaluation (ROSE), cell-block analysis, and adverse events.
A total of 209 patients underwent EUS-guided LN sampling. The mean lesion size was 16.22±8.03 mm, with similar sensitivity and accuracy between FNA and FNB ([67.21% vs. 75.00%, respectively, p=0.216] and [78.80% vs. 83.17%, respectively, p=0.423]). The specificity of FNB was better than that of FNA (100.00% vs. 93.62%, p=0.01). The number of passes required for diagnosis was not different. Abdominal and peri-hepatic LN location demonstrated FNB to have a higher sensitivity (81.08% vs. 64.71%, p=0.031 and 80.95% vs. 58.33%, p=0.023) and accuracy (88.14% vs. 75.29%, p=0.053 and 88.89% vs. 70.49%, p=0.038), respectively. ROSE was a significant predictor for accuracy (odds ratio, 5.16; 95% confidence interval, 1.15–23.08; p=0.032). No adverse events were reported in either cohort.
Both EUS-FNA and EUS-FNB are safe for the diagnosis of LNs. EUS-FNB is preferred for abdominal LN sampling. EUSFNA+ ROSE was similar to EUS-FNB alone, showing better diagnosis for EUS-FNB than traditional FNA. While ROSE remained a significant predictor for accuracy, due to its poor availability in most centers, its use may be limited to cases with previous inconclusive diagnoses.


Citations to this article as recorded by  
  • Current perspectives on the diversification of endoscopic ultrasound-guided fine-needle aspiration and biopsy
    Shinpei Doi, Takako Adachi, Ayako Watanabe, Nobuhiro Katsukura, Takayuki Tsujikawa
    Journal of Medical Ultrasonics.2024; 51(2): 235.     CrossRef
  • Comparing the diagnostic adequacy of 25-Gauge fork-tip versus franseen versus reverse-bevel-type needles in EUS–guided tissue acquisition: A prospective randomized study with a retrospective control
    Adam Haig, Andrew St John, Kasturi Vaska, Xuan Banh, Alexander Huelsen
    Endoscopic Ultrasound.2024; 13(1): 22.     CrossRef
  • Comparison of 19-gauge conventional and Franseen needles for the diagnosis of lymphadenopathy and classification of malignant lymphoma using endoscopic ultrasound fine-needle aspiration
    Mitsuru Okuno, Keisuke Iwata, Tsuyoshi Mukai, Yusuke Kito, Takuji Tanaka, Naoki Watanabe, Senji Kasahara, Yuhei Iwasa, Akihiko Sugiyama, Youichi Nishigaki, Yuhei Shibata, Junichi Kitagawa, Takuji Iwashita, Eiichi Tomita, Masahito Shimizu
    Clinical Endoscopy.2024; 57(3): 364.     CrossRef
  • Pancreatobiliary Lymphadenopathy: Etiology, Location, and Factors Predicting Good Yield of Endoscopic Ultrasound-guided Biopsy
    Taha Yaseen, Abbas Ali Tasneem, Syed Mudassir Laeeq, Zain Majid, Nasir Hassan Luck
    Euroasian journal of hepato-gastroenterology.2024; 14(1): 40.     CrossRef
  • Endoscopic Ultrasound-Guided Fine Needle Biopsy in the Diagnostic Work-Up of Deep-Seated Lymphadenopathies and Spleen Lesions: A Monocentric Experience
    Flaminia Bellisario, Fabia Attili, Fabrizia Campana, Federica Borrelli de Andreis, Silvia Bellesi, Elena Maiolo, Eleonora Alma, Rosalia Malafronte, Giuseppe Macis, Luigi Maria Larocca, Salvatore Annunziata, Francesco D’Alò, Stefan Hohaus
    Diagnostics.2023; 13(17): 2839.     CrossRef
  • Comparison of Fine-Needle Biopsy (FNB) versus Fine-Needle Aspiration (FNA) Combined with Flow Cytometry in the Diagnosis of Deep-Seated Lymphoma
    Yilei Yang, Aruna, Bin Cheng, Dingkun Xiong, Dong Kuang, Haochen Cui, Si Xiong, Xia Mao, Yunlu Feng, Yuchong Zhao
    Diagnostics.2023; 13(17): 2777.     CrossRef
  • Managing adverse events after endoscopic ultrasound‐guided drainage of the biliary tract and pancreatic fluid collections: Narrative review (with video)
    Mateus Pereira Funari, Igor Braga Ribeiro, Marcos Eduardo Lera dos Santos, Sergio Eiji Matuguma, Eduardo Guimarães Hourneaux de Moura
    Digestive Endoscopy.2022; 34(2): 359.     CrossRef
  • Primary Pancreatic Lymphoma Evaluated by Fine-Needle Aspiration
    Qiong Gan, Nancy P Caraway, Cady Ding, John M Stewart
    American Journal of Clinical Pathology.2022; 158(2): 242.     CrossRef
  • Disseminated tuberculosis following invasive procedures for peripancreatic lymph node tuberculosis with portal vein obstruction: a case report
    Aya Kato, Takahisa Mashiba, Yoshinori Tateishi, Rentaro Oda, Hiraku Funakoshi, Keiichi Iwanami, Yasuaki Motomura
    Clinical Journal of Gastroenterology.2022; 15(3): 673.     CrossRef
  • Endoscopic ultrasound fine-needle biopsy vs fine-needle aspiration for lymph nodes tissue acquisition: a systematic review and meta-analysis
    Antonio Facciorusso, Stefano Francesco Crinò, Paraskevas Gkolfakis, Daryl Ramai, Andrea Lisotti, Ioannis S Papanikolaou, Benedetto Mangiavillano, Ilaria Tarantino, Andrea Anderloni, Carlo Fabbri, Konstantinos Triantafyllou, Pietro Fusaroli
    Gastroenterology Report.2022;[Epub]     CrossRef
  • High Diagnostic Accuracy and Safety of Endoscopic Ultrasound-Guided Fine-Needle Aspiration in Malignant Lymph Nodes: A Systematic Review and Meta-Analysis
    Linbin Chen, Yin Li, Xiaoyan Gao, Shiyong Lin, Longjun He, Guangyu Luo, Jianjun Li, Chunyu Huang, Guobao Wang, Qing Yang, Hongbo Shan
    Digestive Diseases and Sciences.2021; 66(8): 2763.     CrossRef
  • A novel and feasible technique for diagnosis and treatment of small subepithelial tumors
    Epifânio Silvino do Monte Junior, Dalton Marques Chaves, Christiano Makoto Sakai, Gustavo de Oliveira Luz, Igor Braga Ribeiro, Vitor Massaro Takamatsu Sagae, Eduardo Guimarães Hourneaux de Moura
    Endoscopy.2021; 53(01): E38.     CrossRef
  • Ultrasound-Guided Fine-Needle Aspiration Versus Fine-Needle Capillary Sampling in Evaluation of Lymph Node Metastasis of Thyroid Cancer
    Shujun Xia, Yilai Chen, Weiwei Zhan, Wei Zhou
    Frontiers in Oncology.2021;[Epub]     CrossRef
  • Endoscopic ultrasound fine needle aspiration vs fine needle biopsy for pancreatic masses, subepithelial lesions, and lymph nodes
    Irving Levine, Arvind J Trindade
    World Journal of Gastroenterology.2021; 27(26): 4194.     CrossRef
  • Endoscopic Ultrasound Fine-Needle Biopsy versus Fine-Needle Aspiration for Tissue Sampling of Abdominal Lymph Nodes: A Propensity Score Matched Multicenter Comparative Study
    Antonio Facciorusso, Stefano Francesco Crinò, Nicola Muscatiello, Paraskevas Gkolfakis, Jayanta Samanta, Juliana Londoño Castillo, Christian Cotsoglou, Daryl Ramai
    Cancers.2021; 13(17): 4298.     CrossRef
  • High Sensitivity of Endoscopic Ultrasound-Guided Fine-Needle Aspiration and Endoscopic Ultrasound-Guided Fine-Needle Biopsy in Lymphadenopathy Caused by Metastatic Disease: A Prospective Comparative Study
    Per Hedenström, Vasilis Chatzikyriakos, Roozbeh Shams, Catarina Lewerin, Riadh Sadik
    Clinical Endoscopy.2021; 54(5): 722.     CrossRef
  • Editors' Choice of Noteworthy Clinical Endoscopy Publications in the First Decade
    Gwang Ha Kim, Kwang An Kwon, Do Hyun Park, Jimin Han
    Clinical Endoscopy.2021; 54(5): 633.     CrossRef
  • Endoscopic ultrasound assessment and tissue acquisition of mediastinal and abdominal lymph nodes
    Giacomo Tamanini, Anna Cominardi, Nicole Brighi, Pietro Fusaroli, Andrea Lisotti
    World Journal of Gastrointestinal Oncology.2021; 13(10): 1475.     CrossRef
  • Current status of newer generation endoscopic ultrasound core needles in the diagnostic evaluation of gastrointestinal lesions
    Amin K. Soltani, Kumar Krishnan
    Journal of the American Society of Cytopathology.2020; 9(5): 389.     CrossRef
  • Improved diagnostic yield of endoscopic ultrasound-fine needle biopsy with histology specimen processing
    Lawrence Ku, Mohammad A Shahshahan, Linda A Hou, Viktor E Eysselein, Sofiya Reicher
    World Journal of Gastrointestinal Endoscopy.2020; 12(8): 212.     CrossRef
  • Endoscopic Ultrasound Fine-Needle Biopsy May Contribute to the Diagnosis of Malignant Lymph Nodes
    Mamoru Takenaka, Shunsuke Omoto, Masatoshi Kudo
    Clinical Endoscopy.2020; 53(5): 508.     CrossRef
  • Usefulness of a target sample check illuminator in the detection of target specimens in endoscopic ultrasound‐guided fine‐needle biopsy samples: Multicenter prospective study
    Kazuya Matsumoto, Kazuo Hara, Ichiro Yasuda, Takao Itoi, Hiroki Kurumi, Shimpei Matsumoto, Shinpei Doi, Mitsuyoshi Honjo, Yohei Takeda, Jin Shibuya, Hisashi Noma, Hajime Isomoto
    Digestive Endoscopy.2020;[Epub]     CrossRef
  • New Devices for Endoscopic Treatments in Gastroenterology: A Narrative Review
    Manuele Furnari, Andrea Telese, Alexander Hann, Andrea Lisotti, Ivo Boškoski, Leonardo Henry Eusebi
    Current Drug Metabolism.2020; 21(11): 850.     CrossRef
  • 5,748 View
  • 183 Download
  • 21 Web of Science
  • 23 Crossref
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