Comparison of Endoscopic Ultrasonography Evaluation of suspected Pancreaticobiliary Malignancy in Patient with or without Biliary Decompression | ||
| Benha Medical Journal | ||
| Article 12, Volume 40, Issue 2, September and October 2023, Pages 432-448 PDF (1.4 M) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/bmfj.2023.199833.1781 | ||
| Authors | ||
| Badawy A. Abdulaziz1; Mona S. Abdelhamid2; Mohamed E. Sarhan3; Ayman M. elsaka4; Shiemaa A k. Dawa5; Azza H. Elshiekh* 6; Ahmed F. Selim7 | ||
| 1Department of Hepatology, Gastroenterology, and Infectious Diseases Faculty of Medicine- Benha University. | ||
| 2Department of Gastroenterology, and Infectious Diseases Faculty of Medicine- Benha University. | ||
| 3Department of Internal Medicine -Tanta University | ||
| 4Department of pathology Faculty of Medicine- Tanta University. | ||
| 5Department of pathologty , Faculty of Medicine - Banha University | ||
| 6Department of Hepatology gastroenterology , Elmehalla Liver Educational Teaching Hospital. | ||
| 7Department of Internal Medicine department -Tanta University. | ||
| Abstract | ||
| Background: Endoscopic ultrasound (EUS) is a modern modality aids in the diagnosis and treatment of pancreatic and biliary diseases. It also allows tissue sampling and staging. AIM: to compare the diagnostic accuracy of Endoscopic Ultrasonography (EUS) guided fine needle aspiration (FNA) before and after biliary decompression in suspected pancreaticobiliary malignancy. Patients and methods: this prospective study was conducted in Tanta University (internal medicine department) and Banha University (hepatology, gastroenterology and infectious disease department) on (120) patients with suspected pancreaticobilliary malignancy and they classified into two groups based on the presence or absence of biliary stent. Results: comparing between both groups using the univariate regression analysis, increasing the tumor size, increasing the number of passes and use of 22-guage needle were shown as predictors associated with accurate diagnosis by EUS. However, with application of multivariate regression analysis, increasing the tumor size and use of 22-guage needle were shown as independent predictors associated with accurate diagnosis by EUS. the presence of stent did not influence the accuracy of diagnosis.Conclusion: Endoscopic ultrasound fine-needle aspiration is considered a highly accurate and reliable diagnostic technique for suspected pancreaticobiliary malignancy. Pre-EUS stenting of biliary obstruction due to pancreaticobiliary malignancy didn’t influence the rate of tissue diagnosis. | ||
| Keywords | ||
| Endoscopic Ultrasonography; Biliary Decompression; Pancreaticobiliary Malignancy | ||
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