Clinical Endoscopy

Original Articles

Accuracy of administrative claim data for gastric adenoma after endoscopic resection: Ga-Yeong Shin, Hyun Ho Choi, Jae Myung Park, Sang Yoon Kim, Jun Young Park, Donghoon Kang, Yu Kyung Cho, Sung Soo Kim, Myung-Gyu Choi; Clin Endosc 2023;56(3):325-332. Published online March 21, 2023; DOI: https://doi.org/10.5946/ce.2022.147

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Background
/Aims: Administrative databases provide valuable information for large-cohort studies. This study aimed to evaluate the diagnostic accuracy of an administrative database for resected gastric adenomas.
Methods
Data of patients who underwent endoscopic resection for benign gastric lesions were collected from three hospitals. Gastric adenoma cases were identified in the hospital database using International Classification of Diseases (ICD) 10-codes. The non-adenoma group included patients without gastric adenoma codes. The diagnostic accuracy for gastric adenoma was analyzed based on the pathological reports of the resected specimen.
Results
Among 5,095 endoscopic resections with codes for benign gastric lesions, 3,909 patients were included in the analysis. Among them, 2,831 and 1,078 patients were allocated to the adenoma and non-adenoma groups, respectively. Regarding the overall diagnosis of gastric adenoma with ICD-10 codes, the sensitivity, specificity, positive predictive value, and negative predictive value were 98.7%, 88.5%, 95.2%, and 96.8%, respectively. There were no significant differences in these parameters between the tertiary and secondary centers.
Conclusions
Administrative codes of gastric adenoma, according to ICD-10 codes, showed good accuracy and can serve as a useful tool to study prognosis of these patients in real-world data studies in the future.

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Gastric Cancer Incidence and Mortality After Endoscopic Resection of Gastric Adenoma: A Nationwide Cohort Study
Jae Myung Park, Songhee Cho, Ga-Yeong Shin, Jayoun Lee, Minjee Kim, Hyeon Woo Yim
American Journal of Gastroenterology.2023; 118(12): 2166. CrossRef

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Endoscopic Ultrasound-Guided Fine Needle Aspiration Using a 22-G Needle for Hepatic Lesions: Single-Center Experience: Ebru Akay, Deniz Atasoy, Engin Altınkaya, Ali Koç, Tamer Ertan, Hatice Karaman, Erkan Caglar; Clin Endosc 2021;54(3):404-412. Published online December 9, 2020; DOI: https://doi.org/10.5946/ce.2020.065

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Background
/Aims: Endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) has been accepted as a reliable tool in diagnosing and staging intra-abdominal tumors. In this study, we aimed to investigate the performance of EUS-FNA in the evaluation of liver masses and its impact on patient management and procedure-related complications retrospectively.
Methods
Data of patients who underwent EUS-FNA biopsies due to liver masses between November 2017 and July 2018 were retrieved retrospectively. Biopsies were performed using 22-G needles. The demographics, EUS-FNA results, sensitivity and specificity of the procedure, negative predictive value, positive predictive value, and specimen sufficiency rates were assessed.
Results
A total of 25 patients (10 females) were included in the study. The mean age was 62.73±15.2 years. The mean size of the masses was 34.50±16.04 mm. The technical success rate was 88%. During the EUS-FNA procedure, each patient had only one pass with 94.45% of aspirate sufficiency rate and 86.3% of biopsy sufficiency rate. The diagnostic accuracy rate was 86.3%. There were no complications.
Conclusions
For the evaluation of liver masses, EUS-FNA using a 22-G needle with even one pass had high aspiration and biopsy success rates accompanied with high diagnostic accuracy rates.

Citations

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Endoscopic ultrasound‐guided tissue acquisition for focal liver lesions in patients with a history of multiple primary malignant neoplasms
Yuichi Takano, Naoki Tamai, Masataka Yamawaki, Jun Noda, Tetsushi Azami, Fumitaka Niiya, Fumiya Nishimoto, Naotaka Maruoka, Tatsuya Yamagami, Masatsugu Nagahama
DEN Open.2025;[Epub] CrossRef
The outcomes of endoscopic ultrasound‐guided tissue acquisition for small focal liver lesions measuring ≤2 cm
Yuichi Takano, Naoki Tamai, Masataka Yamawaki, Jun Noda, Tetsushi Azami, Fumitaka Niiya, Fumiya Nishimoto, Naotaka Maruoka, Tatsuya Yamagami, Masatsugu Nagahama
DEN Open.2025;[Epub] CrossRef
Advances in Endo-Hepatology: The Role of Endoscopic Ultrasound in the Management of Portal Hypertension
Angelo Bruni, Giuseppe Dell’Anna, Jayanta Samanta, Jacopo Fanizza, Francesco Vito Mandarino, Jahnvi Dhar, Antonio Facciorusso, Vito Annese, Sara Massironi, Alberto Malesci, Giovanni Marasco, Elton Dajti, Leonardo Henry Eusebi, Giovanni Barbara, Gianfranco
Diagnostics.2025; 15(8): 967. CrossRef
Diagnostic and therapeutic role of endoscopic ultrasound in liver diseases: A systematic review and meta-analysis
Eyad Gadour, Abeer Awad, Zeinab Hassan, Khalid Jebril Shrwani, Bogdan Miutescu, Hussein Hassan Okasha
World Journal of Gastroenterology.2024; 30(7): 742. CrossRef
Endoscopic ultrasound-guided tissue acquisition for the diagnosis of focal liver lesion
Alina Tantău, Cosmina Sutac, Anamaria Pop, Marcel Tantău
World Journal of Radiology.2024; 16(4): 72. CrossRef
Contrast-enhanced guided endoscopic ultrasound procedures
Marcel Ioan Gheorghiu, Andrada Seicean, Cristina Pojoga, Claudia Hagiu, Radu Seicean, Zeno Sparchez
World Journal of Gastroenterology.2024; 30(17): 2311. CrossRef
Endoscopic ultrasound-guided fine-needle aspiration in the diagnostic value of focal liver lesions: A systematic analysis of 88 cases (with video)
Xiaohong Kong, Zijun Fan, Ruiping Li, Duanmin Hu, Guilian Cheng
Clinics and Research in Hepatology and Gastroenterology.2024; 48(7): 102382. CrossRef
Endoscopic Ultrasound-Guided Fine Needle Biopsy of Focal Liver Lesions: An Effective Mini-Invasive Alternative to the Percutaneous Approach
Gabriele Rancatore, Dario Ligresti, Giacomo Emanuele Maria Rizzo, Lucio Carrozza, Mario Traina, Ilaria Tarantino
Diagnostics.2024; 14(13): 1336. CrossRef
Endoscopic ultrasound-guided tissue acquisition for focal liver lesions can be safely performed in patients with ascites
Yuichi Takano, Naoki Tamai, Masataka Yamawaki, Jun Noda, Tetsushi Azami, Fumitaka Niiya, Fumiya Nishimoto, Naotaka Maruoka, Tatsuya Yamagami, Masatsugu Nagahama
Endoscopy International Open.2024; 12(11): E1309. CrossRef
A case in which ultrasound-guided fine needle aspiration was useful in the diagnosis of liver metastasis of gallbladder cancer
Ayako Inada, Masao Toki, Takahiro Yamada, Sho Kawamoto, Komei Kambayashi, Takeshi Nosaka, Kazushige Ochiai, Koichi Gondo, Shunsuke Watanabe, Akimasa Hayashi, Hiroaki Shimoyamada, Junji Shibahara, Tadakazu Hisamatsu
Progress of Digestive Endoscopy.2023; 102(1): 140. CrossRef
Endo-hepatology: Updates for the clinical hepatologist
Frances Lee, Tarun Rustagi, R. Todd Frederick
Clinical Liver Disease.2023; 22(2): 42. CrossRef
Distinct ways to perform a liver biopsy: The core technique setups and updated understanding of these modalities
Chao Sun, Xingliang Zhao, Lei Shi, Xiaofei Fan, Xiaolong Qi
Endoscopic Ultrasound.2023; 12(6): 437. CrossRef
Role of endoscopic ultrasound-guided liver biopsy: a meta-analysis
Keyu Zeng, Zhenpeng Jiang, Jie Yang, Kefei Chen, Qiang Lu
Scandinavian Journal of Gastroenterology.2022; 57(5): 545. CrossRef
Endoscopic Ultrasound-Guided Fine-Needle Biopsy versus Fine-Needle Aspiration in the Diagnosis of Focal Liver Lesions: Prospective Head-to-Head Comparison
Marcel Gheorghiu, Andrada Seicean, Sorana D. Bolboacă, Ioana Rusu, Radu Seicean, Cristina Pojoga, Ofelia Moșteanu, Zeno Sparchez
Diagnostics.2022; 12(9): 2214. CrossRef
Endoscopic Ultrasound-Guided Fine-Needle Aspiration for Focal Liver Lesions: The Expanding Light Over the Shadow
Takuji Iwashita, Masahito Shimizu
Clinical Endoscopy.2021; 54(3): 299. CrossRef
Hepatic Squamous Cell Carcinoma Diagnosed by Endoscopic Ultrasound-Guided Fine-Needle Aspiration
Koki Yamada, Susumu Shinoura, Kaoru Kikuchi, Chia-Tung Shun
Case Reports in Gastrointestinal Medicine.2021; 2021: 1. CrossRef
Role of Endoscopic Ultrasound in Liver Disease: Where Do We Stand?
Tajana Pavic, Ivana Mikolasevic, Dominik Kralj, Nina Blazevic, Anita Skrtic, Ivan Budimir, Ivan Lerotic, Davor Hrabar
Diagnostics.2021; 11(11): 2021. CrossRef

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Modified Endoscopic Ultrasound Needle to Obtain Histological Core Tissue Samples: A Retrospective Analysis: Munish Ashat, Kaartik Soota, Jagpal S. Klair, Sarika Gupta, Chris Jensen, Arvind R. Murali, Randhir Jesudoss, Rami El-Abiad, Henning Gerke; Clin Endosc 2020;53(4):471-479. Published online February 5, 2020; DOI: https://doi.org/10.5946/ce.2019.108

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Background
/Aims: Endoscopic ultrasound (EUS)-guided fine-needle aspiration is very effective for providing specimens for cytological evaluation. However, the ability to provide sufficient tissue for histological evaluation has been challenging due to the technical limitations of dedicated core biopsy needles. Recently, a modified EUS needle has been introduced to obtain tissue core samples for histological analysis. We aimed to determine (1) its ability to obtain specimens for histological assessment and (2) the diagnostic accuracy of EUS-guided fine-needle biopsy (EUS-FNB) using this needle.
Methods
We retrospectively analyzed consecutive cases of FNB using modified EUS needles for 342 lesions in 303 patients. The cytology and histological specimens were analyzed. Diagnostic accuracy was calculated.
Results
Adequate cytological and histological assessment was possible in 293/342 (86%) and 264/342 (77%) lesions, respectively. Diagnostic accuracy of the cytological specimen was 294/342 (86%) versus 254/342 (74%) for the histological specimen (p<0.01). Diagnostic accuracy of the combined cytological and histological assessment was 323/342 (94.4%), which was significantly higher than that of both histology alone (p<0.001) and cytology alone (p=0.001).
Conclusions
EUS-FNB with the modified EUS needle provided histologic tissue cores in the majority of cases and achieved excellent diagnostic accuracy with few needle passes.

Citations

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Randomized trial comparing the Franseen needle versus 2 types of sharpened-tip 3-prong needles in EUS-guided tissue acquisition from solid pancreatic lesions
Takuya Ishikawa, Hirotaka Suzuki, Yasuki Hori, Jun Yashika, Hiroki Suhara, Hajime Sumi, Masahiko Ando, Yachiyo Kuwatsuka, Kentaro Yamao, Yasuyuki Mizutani, Tadashi Iida, Kota Uetsuki, Takeshi Yamamura, Kazuhiro Furukawa, Masanao Nakamura, Hiromi Kataoka,
Gastrointestinal Endoscopy.2025;[Epub] CrossRef
Effect of wet-heparinized suction on the quality of mediastinal solid tumor specimens obtained by endoscopic ultrasound-guided fine-needle aspiration: a retrospective study from a single center
Bo Xu, Qian Lu, Rong Fang, Xiaojuan Dai, Haiyan Xu, Xiangwu Ding, Huawei Gui
BMC Gastroenterology.2023;[Epub] CrossRef
Randomized controlled trial comparing the Franseen needle with the Fork-tip needle for EUS-guided fine-needle biopsy
Munish Ashat, Jagpal S. Klair, Sydney L. Rooney, Sagar J. Vishal, Chris Jensen, Nadav Sahar, Arvind R. Murali, Rami El-Abiad, Henning Gerke
Gastrointestinal Endoscopy.2021; 93(1): 140. CrossRef

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Predictive Factors for Inaccurate Diagnosis of Swollen Lymph Nodes in Endoscopic Ultrasound-Guided Fine Needle Aspiration: Yuki Fujii, Yoshihide Kanno, Shinsuke Koshita, Takahisa Ogawa, Hiroaki Kusunose, Kaori Masu, Toshitaka Sakai, Keisuke Yonamine, Yujiro Kawakami, Toji Murabayashi, Fumisato Kozakai, Yutaka Noda, Hiroyuki Okada, Kei Ito; Clin Endosc 2019;52(2):152-158. Published online January 7, 2019; DOI: https://doi.org/10.5946/ce.2018.125

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Background
/Aims: This study aimed to identify the predictive factors for inaccurate endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) diagnosis of swollen lymph nodes without rapid on-site cytopathological evaluation.
Methods
Eighty-three consecutive patients who underwent EUS-FNA for abdominal or mediastinal lymph nodes from January 2008 to June 2017 were included from a prospectively maintained EUS-FNA database and retrospectively reviewed. The sensitivity, specificity, and accuracy of EUS-FNA for the detection of neoplastic diseases were calculated. Candidate factors for inaccurate diagnosis (lymph node size and location, needle type, puncture route, number of passes, and causative disease) were evaluated by comparison between accurately diagnosed cases and others.
Results
The final diagnosis of the punctured lymph node was classified as neoplastic (65 cases: a metastatic lymph node, malignant lymphoma, or Crow-Fukase syndrome) or non-neoplastic (18 cases: a reactive node or amyloidosis). The sensitivity, specificity, and accuracy were 83%, 94%, and 86%, respectively. On multivariate analyses, small size of the lymph node was the sole predictive factor for inaccurate EUS-FNA diagnosis with a significant difference (odds ratios, 19.8; 95% confidence intervals, 3.15–124; p=0.0015).
Conclusions
The lymph node size of <16 mm was the only independent factor associated with inaccurate EUS-FNA diagnosis of swollen lymph nodes.

Citations

Citations to this article as recorded by

Mediastinal lymphadenopathy: Causes, symptoms and factors predicting good yield of endoscopic ultrasound-guided biopsy
Abbas A Tasneem, Nasir H Luck, Muhammed Mubarak
World Journal of Clinical Cases.2025;[Epub] CrossRef
Role of EBUS‐TBNA/EUS‐FNA and mass spectrometry for diagnosis and typing of lymph node amyloidosis: 10‐year experience in two tertiary care academic centers
Asghar Naqvi, Michael Bonert, Christian Finley, Katarzyna Czarnecka‐Kujawa, Kazuhiro Yasufuku, Joerg Schwock, Vathany Kulasingam, Rohan John, Hyang‐Mi Ko
Cancer Cytopathology.2023; 131(11): 724. 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
Lymph node FNA cytology: Diagnostic performance and clinical implications of proposed diagnostic categories
Vladislav V. Makarenko, Michelle E. DeLelys, Robert P. Hasserjian, Amy Ly
Cancer Cytopathology.2022; 130(2): 144. CrossRef
Diagnostic accuracy and clinical impact of endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) in Positron Emission Tomography - Computed Tomography (PET-CT)-positive mediastinal lymphadenopathies in patients with thoracic or extra-thoracic mali
Dominique Béchade, Carine Bellera, Lisa Gauquelin, Isabelle Soubeyran, Pippa McKelvie-Sebileau, Marc Debled, François Chomy, Guilhem Roubaud, Marianne Fonck, Simon Pernot, Alexandre Roch, Anne-Laure Cazeau
Clinics and Research in Hepatology and Gastroenterology.2022; 46(5): 101912. 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
Diagnosis of Pancreatic Solid Lesions, Subepithelial Lesions, and Lymph Nodes Using Endoscopic Ultrasound
Akashi Fujita, Shomei Ryozawa, Masafumi Mizuide, Yuki Tanisaka, Tomoya Ogawa, Masahiro Suzuki, Hiromune Katsuda, Yoichi Saito, Tomoaki Tashima, Kazuya Miyaguchi, Eiichi Arai, Tomonori Kawasaki, Yumi Mashimo
Journal of Clinical Medicine.2021; 10(5): 1076. CrossRef
Primary localized gastric amyloidosis: A scoping review of the literature from clinical presentations to prognosis
Xin-Yu Lin, Dan Pan, Li-Xuan Sang, Bing Chang
World Journal of Gastroenterology.2021; 27(12): 1132. CrossRef
Comparison of Endoscopic Ultrasound-Guided Fine-Needle Aspiration and Biopsy Device for Lymphadenopathy
Yuki Tanisaka, Masafumi Mizuide, Akashi Fujita, Tomoya Ogawa, Ryuichiro Araki, Masahiro Suzuki, Hiromune Katsuda, Youichi Saito, Kazuya Miyaguchi, Tomoaki Tashima, Yumi Mashimo, Masami Yasuda, Shomei Ryozawa, Konstantinos Triantafyllou
Gastroenterology Research and Practice.2021; 2021: 1. CrossRef
How to Improve the Diagnostic Accuracy of EUS-FNA in Abdominal and Mediastinal Lymphadenopathy?
Tae Hyeon Kim
Clinical Endoscopy.2019; 52(2): 93. CrossRef

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Accuracy of Endoscopic Diagnosis for Mild Atrophic Gastritis Infected with Helicobacter pylori: Takuma Okamura, Yugo Iwaya, Kei Kitahara, Tomoaki Suga, Eiji Tanaka; Clin Endosc 2018;51(4):362-367. Published online April 26, 2018; DOI: https://doi.org/10.5946/ce.2017.177

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Background
/Aims: This study examined the accuracy of endoscopic evaluation for determining the Helicobacter pylori infection status in patients with mild atrophy who might not exhibit characteristic endoscopic findings.
Methods
Forty endoscopists determined the H. pylori infection status of 50 randomly presented H. pylori-positive and H. pylorinegative cases on the basis of a list of established findings.
Results
The median clinical endoscopy experience was 7 years (range, 1–35 years), including 22 board-certified endoscopists (55%) of the Japan Gastroenterological Endoscopy Society. The mean accuracy rate of endoscopic diagnosis was 67% and was unrelated to experience status (experienced vs. trainee: 69% vs. 65%, p=0.089) and total years of experience (R² =0.022). The most frequently selected endoscopic findings were regular arrangement of collecting venules (59%), atrophy (45%), and red streak (22%), which had fair accuracy rates of 67%, 65%, and 73%, respectively. By contrast, the accuracy rates of nodularity (89%) and mucosal swelling (77%) were highest. The 20 endoscopists who more frequently identified these findings diagnosed H. pylori infection significantly more accurately than did the other endoscopists (71% vs. 64%, p=0.008).
Conclusions
Careful attention to nodularity and mucosal swelling in patients with mild atrophy may enhance diagnosis, enable prompt treatment, and avoid possible long-term carcinogenesis.

Citations

Citations to this article as recorded by

The Diagnostic Performance of Linked Color Imaging Compared to White Light Imaging in Endoscopic Diagnosis of Helicobacter pylori Infection: A Systematic Review and Meta-Analysis
Jae Gon Lee, In Kyung Yoo, Abdullah Ozgur Yeniova, Sang Pyo Lee
Gut and Liver.2024; 18(3): 444. CrossRef
Endoscopic Features According to Helicobacter pylori Infection Status
Jun-young Seo, Ji Yong Ahn
The Korean Journal of Medicine.2023; 98(3): 117. CrossRef
Role of linked color imaging for upper gastrointestinal disease: present and future
Sang Pyo Lee
Clinical Endoscopy.2023; 56(5): 546. CrossRef
Clinical usefulness of linked color imaging in identifying Helicobacter pylori infection: A systematic review and meta-analysis
Yu Zhang, Jing-Zhai Wang, Xuan Bai, Peng-Li Zhang, Qiang Guo
World Journal of Gastrointestinal Endoscopy.2023; 15(12): 735. CrossRef
Characterization of the cagA-gene in Helicobacter pylori in Mongolia and detection of two EPIYA-A enriched CagA types
Oyunbaatar Altanbayar, Avarzed Amgalanbaatar, Chimeddorj Battogtokh, Narmandakh Bayarjargal, Dana Belick, Malte Kohns Vasconcelos, Colin R. Mackenzie, Klaus Pfeffer, Birgit Henrich
International Journal of Medical Microbiology.2022; 312(3): 151552. CrossRef
Risk factors for early gastric cancer: focus on Helicobacter pylori gastritis
Hee Seok Moon
Journal of the Korean Medical Association.2022; 65(5): 259. CrossRef
Usefulness of the Kyoto Classification Score for Prediction of Current Helicobacter pylori Infection
Heejun Kang, Chul-Hyun Lim, Sukil Kim, Arum Choi, Jung-Hwan Oh
The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2022; 22(4): 281. CrossRef
Clinical Features of False-Negative Early Gastric Cancers: A Retrospective Study of Endoscopic Submucosal Dissection Cases
Kohei Oka, Naoto Iwai, Takashi Okuda, Tasuku Hara, Yutaka Inada, Toshifumi Tsuji, Toshiyuki Komaki, Junichi Sakagami, Yuji Naito, Keizo Kagawa, Yoshito Itoh, Fabiana Zingone
Gastroenterology Research and Practice.2021; 2021: 1. CrossRef
Gastritis: The clinico-pathological spectrum
Massimo Rugge, Edoardo Savarino, Marta Sbaraglia, Ludovica Bricca, Peter Malfertheiner
Digestive and Liver Disease.2021; 53(10): 1237. CrossRef
What Is New in Helicobacter pylori Diagnosis. An Overview
Maria Pina Dore, Giovanni Mario Pes
Journal of Clinical Medicine.2021; 10(10): 2091. CrossRef
Deep learning for diagnosis of precancerous lesions in upper gastrointestinal endoscopy: A review
Tao Yan, Pak Kin Wong, Ye-Ying Qin
World Journal of Gastroenterology.2021; 27(20): 2531. CrossRef
In situ Diagnosis of Helicobacter pylori Infection Using the Endoscopic Kyoto Scoring System
Eunsun Lim, Ik Hyun Jo, Yeon-Ji Kim, Woo Chul Chung
The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2021; 21(4): 322. CrossRef
Helicobacter pylori Gastritis in Children—The Link between Endoscopy and Histology
Ana-Maria Teodora Domșa, Raluca Lupușoru, Dan Gheban, Radu Șerban, Cristina Maria Borzan
Journal of Clinical Medicine.2020; 9(3): 784. CrossRef
The role of linked color imaging in endoscopic diagnosis of Helicobacter pylori associated gastritis
Sang Pyo Lee, Jin Lee, Sea Hyub Kae, Hyun Joo Jang, Dong Hee Koh, Jang Han Jung, Sun-Ju Byeon
Scandinavian Journal of Gastroenterology.2020; 55(9): 1114. CrossRef
Gastritis: An Update in 2020
Massimo Rugge, Kentaro Sugano, Diana Sacchi, Marta Sbaraglia, Peter Malfertheiner
Current Treatment Options in Gastroenterology.2020; 18(3): 488. CrossRef
The endoscopic predictors of Helicobacter pylori status: a meta-analysis of diagnostic performance
Ben Glover, Julian Teare, Hutan Ashrafian, Nisha Patel
Therapeutic Advances in Gastrointestinal Endoscopy.2020; 13: 263177452095084. CrossRef
Helicobacter pylori Infection and the Kyoto Classification of Gastritis
Sun-Young Lee
The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2019; 19(2): 81. CrossRef
Review: Diagnosis of Helicobacter pylori infection
Athanasios Makristathis, Alexander M. Hirschl, Francis Mégraud, Emilie Bessède
Helicobacter.2019;[Epub] CrossRef
Accuracy of Endoscopic Diagnosis of Mild Atrophic Gastritis with Helicobacter pylori Infection
Dae Bum Kim, Woo Chul Chung
Clinical Endoscopy.2018; 51(4): 310. CrossRef

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Diagnostic Accuracy of the Initial Endoscopy for Ampullary Tumors: Hee Seung Lee, Jong Soon Jang, Seungho Lee, Myeong Ho Yeon, Ki Bae Kim, Jae Geun Park, Joo Young Lee, Mi Jin Kim, Joung-Ho Han, Rohyun Sung, Seon Mee Park; Clin Endosc 2015;48(3):239-246. Published online May 29, 2015; DOI: https://doi.org/10.5946/ce.2015.48.3.239

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Background/Aims

Ampullary tumors come in a wide variety of malignant forms. We evaluated the diagnostic accuracy of endoscopy for ampullary tumors, and analyzed the causes of misdiagnosis.

Methods

We compared endoscopic imaging and biopsy results to final diagnoses. Types of endoscope, numbers of biopsy specimens taken, and final diagnoses were evaluated as possible factors influencing diagnostic accuracy.

Results

Final diagnoses were 19 adenocarcinomas, 18 normal or papillitis, 11 adenomas, two adenomyomas, one paraganglioma, and one neuroendocrine tumor. The diagnostic accuracy of endoscopic imaging or the initial biopsy was identical (67.3%). At least one test was concordant with the final diagnosis in all except two cases. Compared with the final diagnosis, endoscopic imaging tended to show more advanced tumors, whereas the initial biopsy revealed less advanced lesions. The diagnostic accuracy of the initial biopsy was influenced by the type of endoscope used and the final diagnosis, but not by the number of biopsies taken.

Conclusions

Endoscopy has limited accuracy in the diagnosis of ampullary tumors. However, most cases with concordant endoscopic imaging and biopsy results are identical to the final diagnosis. Therefore, in cases where both of these tests disagree, re-evaluation with a side-viewing endoscope after resolution of papillitis is required.

Citations

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Endoscopic Management of Ampullary Adenomas: A Comprehensive Review
Minh Thu T. Nguyen, Ruchir Paladiya, Dushyant Singh Dahiya, Murali Dharan
Journal of Clinical Medicine.2025; 14(10): 3532. CrossRef
Outcomes of endoscopic papillectomy of ampullary carcinoma and factors affecting additional surgery
Yoshihisa Takada, Takuya Ishikawa, Kentaro Yamao, Yasuyuki Mizutani, Tadashi Iida, Kota Uetsuki, Noriaki Gibo, Eizaburo Ohno, Hiroki Kawashima
Journal of Hepato-Biliary-Pancreatic Sciences.2024; 31(2): 110. CrossRef
When thoracic trauma does more good than harm: About an incidental finding of a gangliocytic paraganglioma of the ampulla of Vater
Guizani Rami, Mseddi Mohamed Ali, Hsairi Meriem, Saad Sarra, Zehani Alia, Ben Slima Mohamed
Clinical Case Reports.2024;[Epub] CrossRef
The Optimal Cutoff Value of Tumor Markers for Prognosis Prediction in Ampullary Cancer
Seungho Lee, Hongbeom Kim, Heeju Sohn, Mirang Lee, Hyesol Jung, Youngjae Jo, Youngmin Han, Wooil Kwon, Jin-Young Jang
Cancers.2023; 15(8): 2281. CrossRef
Obstrucción biliar por adenomioma de la ampolla de Vater
Francisco Ramos-Muñoz, Luis Carlos Hinojosa-Arco, Jorge Francisco Roldán-de la Rúa, Ana Isabel García-Salguero, Miguel Ángel Suárez-Muñoz
Gastroenterología y Hepatología.2022; 45: 69. CrossRef
Adenomatous neoplasia in the papilla of Vater endoscopic and/or surgical resection?
Erik Haraldsson, Asif Halimi, Elena Rangelova, Roberto Valente, J. Matthias Löhr, Urban Arnelo
Surgical Endoscopy.2022; 36(4): 2401. CrossRef
Endoscopic Papillectomy
Sara Teles de Campos, Marco J. Bruno
Gastrointestinal Endoscopy Clinics of North America.2022; 32(3): 545. CrossRef
Efficacy and Safety of Exploring Deeper Sections of the Infrapapillary Area of the Duodenum by Using Sedative Esophagogastroduodenoscopy
Ming-Tse Hsu, Chi-Yi Chen, Kai-Sheng Liao, Wei-Sheng Chung, Tatsuya Toyokawa
Gastroenterology Research and Practice.2022; 2022: 1. CrossRef
Ampullary Adenocarcinoma: a Mini-Review and a Case Report of a Clinically Stable Disease Patient Treated with Herbal Supplements
Khin Maung Lwin, Ye Htut Linn, Yamin Kyaw Swar Dee
Journal of Gastrointestinal Cancer.2021; 52(2): 750. CrossRef
Proposed nomogram predicting neoplastic ampullary obstruction in patients with a suspected ampulla of Vater lesion on CT
Soo Young Jang, Jin Sil Kim, Seung Yon Baek, Hye Ah Lee, Jeong Kyong Lee
Abdominal Radiology.2021; 46(7): 3128. CrossRef
Long‐term outcomes of endoscopic papillectomy for early‐stage cancer in duodenal ampullary adenoma: Comparison to surgical treatment
Jun Seong Hwang, Hoonsub So, Dongwook Oh, Tae Jun Song, Do Hyun Park, Dong‐Wan Seo, Sung Koo Lee, Myung‐Hwan Kim, Seung‐Mo Hong, Jungho Yang, Sang Soo Lee
Journal of Gastroenterology and Hepatology.2021; 36(8): 2315. CrossRef
Endoscopic management of ampullary tumors: European Society of Gastrointestinal Endoscopy (ESGE) Guideline
Geoffroy Vanbiervliet, Marin Strijker, Marianna Arvanitakis, Arthur Aelvoet, Urban Arnelo, Torsten Beyna, Olivier Busch, Pierre H. Deprez, Lumir Kunovsky, Alberto Larghi, Gianpiero Manes, Alan Moss, Bertrand Napoleon, Manu Nayar, Enrique Pérez-Cuadrado-Ro
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Predictive factor of recurrence after endoscopic papillectomy for ampullary neoplasms
Kosuke Takahashi, Eisuke Ozawa, Ichiro Yasuda, Naohiro Komatsu, Hisamitsu Miyaaki, Ken Ohnita, Takuji Yamao, Kazuo Oba, Tatsuki Ichikawa, Kazuhiko Nakao
Journal of Hepato-Biliary-Pancreatic Sciences.2021; 28(7): 625. CrossRef
Surgical ampullectomy: A comprehensive review
Darren L Scroggie, Vasileios K Mavroeidis
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Performance and Clinical Role of Endoscopic Ultrasound Fine Needle Aspiration for Diagnosing Gastrointestinal Intramural Lesions: Hea Jung Sung, Yu Kyung Cho, Eun Young Park, Sung Jin Moon, Chul Hyun Lim, Jin Su Kim, Jae Myung Park, In Seok Lee, Sang Woo Kim, Myung-Gyu Choi, Kyu Yong Choi; Clin Endosc 2013;46(6):627-632. Published online November 19, 2013; DOI: https://doi.org/10.5946/ce.2013.46.6.627

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Background/Aims

We evaluated the performance, clinical role, and diagnostic accuracy of endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) in gastrointestinal intramural lesions.

Methods

Procedural and pathologic data were reviewed from consecutive patients undergoing EUS-FNA for intramural lesions. Final diagnoses were determined by surgical histopathologic conformation and the diagnosis of malignancy, including clinical follow-up with repeat imaging.

Results

Forty-six patients (mean age, 47 years; 24 males) underwent EUS-FNA. Lesions were located in the stomach (n=31), esophagus (n=5), and duodenum (n=10). The median lesion size was 2 cm (range, 1 to 20.6). Final diagnoses were obtained in 22 patients (48%). EUS-FNA was diagnostic in 40 patients (87%). The diagnostic accuracy of cytology for differentiating between benign and malignant lesions was 82%; diagnostic error occurred in three patients (6%). The cytologic results influenced clinical judgment in 78% cases. The primary reasons for negative or no clinical impact were false-negative results, misdirected patient management, and inconclusive cytology.

Conclusions

EUS-FNA exhibited an 87% diagnostic yield for gastrointestinal intramural lesions; the accuracy of cytology for differentiating malignancy was 82%. The limitations of EUS-FNA were primarily because of nondiagnostic sampling (9%) and probable diagnostic error (6%); these factors may influence the clinical role of EUS-FNA.

Citations

Citations to this article as recorded by

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Endoscopic ultrasound‐guided fine needle aspiration cytology diagnosis of upper gastrointestinal tract mesenchymal tumors: Impact of rapid onsite evaluation and correlation with histopathologic follow‐up
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