Clinical Endoscopy

Sachin Wani

2 Articles

Quality Indicators in Barrett’s Esophagus: Time to Change the Status Quo: Samuel Han, Sachin Wani; Clin Endosc 2018;51(4):344-351. Published online July 31, 2018; DOI: https://doi.org/10.5946/ce.2018.099

The push for high quality care in all fields of medicine highlights the importance of establishing and adhering to quality indicators.In response, several gastrointestinal societies have established quality indicators specific to Barrett’s esophagus, which serve to createthresholds for performance while standardizing practice and guiding value-based care. Recent studies, however, have consistentlydemonstrated the lack of adherence to these quality indicators, particularly in surveillance (appropriate utilization of endoscopy andobtaining biopsies using the Seattle protocol) and endoscopic eradication therapy practices. These findings suggest that innovativeinterventions are needed to address these shortcomings in order to deliver high quality care to patients with Barrett’s esophagus.

Citations

Citations to this article as recorded by

Endoskopische Diagnostik und Therapie des Ösophaguskarzinoms
Alanna Ebigbo, Andreas Probst, Helmut Messmann
Die Onkologie.2025; 31(2): 143. CrossRef
Measuring and improving quality in esophageal care and swallowing disorders
Alexander T Reddy, Joshua P Lee, David A Leiman
Diseases of the Esophagus.2024;[Epub] CrossRef
Impact of Residing in Below Median Household Income Districts on Outcomes in Patients with Advanced Barrett’s Esophagus
Suqing Li, Yusuke Fujiyoshi, Sechiv Jugnundan, Gary May, Norman Marcon, Jeffrey Mosko, Christopher Teshima
Journal of the Canadian Association of Gastroenterology.2023; 6(4): 137. CrossRef
Clinical variation in surveillance and management of Barrett’s esophagus: A cross-sectional study of gastroenterologists and gastrointestinal surgeons
Jamielyn DC Cruz, David Paculdo, Divya Ganesan, Meredith Baker, Rebecca J Critchley-Thorne, Nicholas J Shaheen, Sachin Wani, John W Peabody
Medicine.2022; 101(51): e32187. CrossRef
Risk Factors for Self-Expandable Metal Stent Complications in the Treatment of Esophageal Cancer: A Scoping Review
Connor K. Wilson, Sara R. Frankowski, Susan C. Steelman, Issam Makhoul
SN Comprehensive Clinical Medicine.2020; 2(8): 1163. CrossRef

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Addition of Endoscopic Ultrasound (EUS)-Guided Fine Needle Aspiration and On-Site Cytology to EUS-Guided Fine Needle Biopsy Increases Procedure Time but Not Diagnostic Accuracy: Rajesh N. Keswani, Kumar Krishnan, Sachin Wani, Laurie Keefer, Srinadh Komanduri; Clin Endosc 2014;47(3):242-247. Published online May 31, 2014; DOI: https://doi.org/10.5946/ce.2014.47.3.242

Abstract PDF PubReader ePub

Background/Aims

Although the diagnostic accuracy of endoscopic ultrasound with fine needle aspiration (EUS-FNA) in pancreas adenocarcinoma is high, endoscopic ultrasound with fine needle biopsy (EUS-FNB) is often required in other lesions; in these cases, it may be possible to forgo initial EUS-FNA and rapid on-site cytology evaluation (ROSE). The aim of this study was to compare the diagnostic accuracy of EUS-FNB alone (EUS-FNB group) with a conventional sampling algorithm of EUS-FNA with ROSE followed by EUS-FNB (EUS-FNA/B group) in nonpancreas adenocarcinoma lesions.

Methods

Retrospective cohort study of subjects who underwent EUS sampling of nonpancreatic adenocarcinoma lesions between February 2011 and May 2013.

Results

Over the study period, there were 43 lesions biopsied in 41 unique patients in the EUS-FNB group and 53 patients in the EUS-FNA/B group. Overall diagnostic accuracy was similar between the EUS-FNB and EUS-FNA/B groups (83.7% vs. 84.9%; p=1.0). In the subgroup of subepithelial mass lesions, diagnostic accuracy remained similar in the EUS-FNB and EUS-FNA/B groups (81.0% and 70.6%; p=0.7). EUS-FNB procedures were significantly shorter than those in the EUS-FNA/B group (58.4 minutes vs. 73.5 minutes; p<0.0001).

Conclusions

EUS-FNB without on-site cytology provides a high diagnostic accuracy in nonpancreas adenocarcinoma lesions. There appears to be no additive benefit with initial EUS-FNA but this requires further study in a prospective study.

Citations

Citations to this article as recorded by

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Gastrointestinal Endoscopy.2024; 99(6): 895. CrossRef
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Vinh‐An Phan, Andrew Ruszkiewicz, Romina Safaeian, Joshua Zobel, Nam Q. Nguyen
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Digestive Diseases and Sciences.2021; 66(8): 2763. 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
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De‐Feng Li, Jian‐yao Wang, Mei‐feng Yang, Feng Xiong, Ding‐guo Zhang, Zheng‐lei Xu, Min‐Han Luo, Zhen‐dong Jing, Kai‐Xuan Wang, Li‐sheng Wang, Jun Yao
Journal of Gastroenterology and Hepatology.2020; 35(8): 1264. CrossRef
Factors affecting the accuracy of endoscopic ultrasound‐guided fine needle aspiration for the diagnosis of small (≤20 mm) pancreatic lesions
Hong Zhen Li, Chun Yan Peng, Shan Shan Shen, Lei Wang, Song Zhang, Gui Fang Xu, Bo Kong, Helmut Friess, Xiao Ping Zou, Ying Lv
Journal of Digestive Diseases.2020; 21(7): 416. CrossRef
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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
Clinical Endoscopy.2020; 53(5): 600. CrossRef
Recent advancement in EUS-guided fine needle sampling
Pujan Kandel, Michael B. Wallace
Journal of Gastroenterology.2019; 54(5): 377. CrossRef
A “Back Light System” for Identification of Sites for Endoscopic Ultrasound-Guided Fine-Needle Aspiration in Solid Pancreatic Masses: A Prospective, Randomized Study with a Crossover Design
Ryo Harada, Hironari Kato, Soichiro Fushimi, Hirofumi Inoue, Daisuke Uchida, Yutaka Akimoto, Takeshi Tomoda, Kazuyuki Matsumoto, Yasuhiro Noma, Naoki Yamamoto, Shigeru Horiguchi, Koichiro Tsutsumi, Hiroyuki Okada
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Present and Future of Endoscopic Ultrasound-Guided Tissue Acquisition in Solid Pancreatic Tumors
Jae Keun Park, Kwang Hyuck Lee
Clinical Endoscopy.2019; 52(6): 541. CrossRef
Cytology and histology: Complementary diagnostic modalities during endoscopic ultrasound-guided tissue acquisition
Norge Vergara, Roseann I. Wu, Stuti Shroff, Cindy M. McGrath
Techniques in Gastrointestinal Endoscopy.2018; 20(1): 10. CrossRef
AGA White Paper: Optimizing Endoscopic Ultrasound–Guided Tissue Acquisition and Future Directions
Sachin Wani, V. Raman Muthusamy, Cindy M. McGrath, Antonia R. Sepulveda, Ananya Das, Wells Messersmith, Michael L. Kochman, Janak Shah
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Gastrointestinal Endoscopy Clinics of North America.2017; 27(4): 585. CrossRef
Imaging modalities for characterising focal pancreatic lesions
Lawrence MJ Best, Vishal Rawji, Stephen P Pereira, Brian R Davidson, Kurinchi Selvan Gurusamy
Cochrane Database of Systematic Reviews.2017;[Epub] CrossRef
Impact of EUS-guided fine-needle biopsy sampling with a new core needle on the need for onsite cytopathologic assessment: a preliminary study
Eduardo Rodrigues-Pinto, Sujai Jalaj, Ian S. Grimm, Todd H. Baron
Gastrointestinal Endoscopy.2016; 84(6): 1040. CrossRef
Rapid On-Site Evaluation for Endoscopic Ultrasound–Guided Fine-Needle Aspiration Diagnosis of Pancreatic Lesions
Guoping Cai, Xiu Sun, Harry R. Aslanian, David Chhieng
Pathology Case Reviews.2015; 20(4): 164. CrossRef
Endoscopic Ultrasound–Guided Pancreatic Core Biopsy
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Endoscopic Ultrasound-Guided Fine Needle Biopsy without Rapid On-Site Cytologic Examination: A Time to Change the Paradigm?
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EUS-guided tissue acquisition: an evidence-based approach (with videos)
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Gastrointestinal Endoscopy.2014; 80(6): 939. CrossRef

6,496 View
92 Download
23 Web of Science
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