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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
AbstractAbstract PDFPubReaderePub
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 to this article as recorded by  
  • 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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  • 3 Web of Science
  • 4 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
AbstractAbstract PDFPubReaderePub

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.


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


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).


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 to this article as recorded by  
  • Diagnostic yield of endoscopic and EUS-guided biopsy techniques in subepithelial lesions of the upper GI tract: a systematic review
    Cynthia A. Verloop, Jacqueline A.C. Goos, Marco J. Bruno, Rutger Quispel, Lydi M.J.W. van Driel, Lieke Hol
    Gastrointestinal Endoscopy.2024; 99(6): 895.     CrossRef
  • Methods of tissue preparation after EUS‐guided tissue acquisition without rapid on‐site assessment: Results of a randomized study
    Vinh‐An Phan, Andrew Ruszkiewicz, Romina Safaeian, Joshua Zobel, Nam Q. Nguyen
    Journal of Gastroenterology and Hepatology.2023; 38(5): 733.     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
  • 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
  • Factors associated with diagnostic accuracy, technical success and adverse events of endoscopic ultrasound‐guided fine‐needle biopsy: A systematic review and meta‐analysis
    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
  • 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
    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
    Clinical Endoscopy.2019; 52(4): 334.     CrossRef
  • 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
    Clinical Gastroenterology and Hepatology.2018; 16(3): 318.     CrossRef
  • Advanced EUS Guided Tissue Acquisition Methods for Pancreatic Cancer
    Pujan Kandel, Michael B. Wallace
    Cancers.2018; 10(2): 54.     CrossRef
  • Devices for endoscopic ultrasound-guided tissue acquisition
    Thiruvengadam Muniraj, Harry R. Aslanian
    Techniques in Gastrointestinal Endoscopy.2018; 20(1): 2.     CrossRef
  • New Developments in Endoscopic Ultrasound Tissue Acquisition
    Thiruvengadam Muniraj, Harry R. Aslanian
    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
    James J. Farrell
    Pathology Case Reviews.2015; 20(4): 156.     CrossRef
  • Endoscopic Ultrasound-Guided Fine Needle Biopsy without Rapid On-Site Cytologic Examination: A Time to Change the Paradigm?
    Yeon Suk Kim
    Clinical Endoscopy.2014; 47(3): 207.     CrossRef
  • EUS-guided tissue acquisition: an evidence-based approach (with videos)
    Sachin Wani, V. Raman Muthusamy, Srinadh Komanduri
    Gastrointestinal Endoscopy.2014; 80(6): 939.     CrossRef
  • 5,702 View
  • 87 Download
  • 23 Web of Science
  • 21 Crossref
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