Evidence map›Paper›PMID 28845112›Full record

ArticleAnnals of gastroenterology2017

Safety and utility of endoscopic ultrasound-guided fine-needle aspiration of focal splenic lesions: a retrospective analysis.

Surinder S Rana, Vishal Sharma, Ravi Sharma, Radhika Srinivasan, Rajesh Gupta

Open access · diamondAbstract read
In one paragraph

Article in Annals of gastroenterology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
0.7field-weighted citation impact, top 27% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
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  8. Septic shock due toWorld journal of gastroenterology · 2021
    Article
  9. Review
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Surinder S RanaDepartment of Gastroenterology (Surinder S. Rana, Vishal Sharma, Ravi Sharma), Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
Vishal SharmaDepartment of Gastroenterology (Surinder S. Rana, Vishal Sharma, Ravi Sharma), Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
Ravi SharmaDepartment of Gastroenterology (Surinder S. Rana, Vishal Sharma, Ravi Sharma), Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
Radhika SrinivasanDepartment of Cytology (Radhika Srinivasan), Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
Rajesh GuptaDepartment of Surgery (Rajesh Gupta), Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
Post Graduate Institute of Medical Education and Research · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFine-needle aspiration (FNA) of focal splenic lesions (FSL) is usually done under ultrasound (US) or computed tomography guidance. Endoscopic US (EUS), because of its ability to provide high-resolution images, can be used for aspirating FSL. We studied the safety and efficacy of EUS-guided FNA of FSL.

methodsWe performed a retrospective analysis of patients with FSL undergoing EUS-guided FNA over the last six years.

resultsEUS-guided FNA was performed in 16 patients (age: 28-43 years; male: 11). A 22-G needle was used in 13 patients, a 25-G needle in 2 patients, and a 19-G needle in 1 patient. All patients had abdominal pain, with 6 patients also having fever. On EUS, 8 patients had focal hypoechoic lesion/lesions, whereas 8 patients had focal cystic lesion/lesions. The size of the focal lesions ranged from 0.8-10 cm. EUS-guided aspiration was performed successfully in all patients. The cytology was adequate in all patients and a diagnosis was established in 13 (81%) patients. The final diagnosis in patients with hypoechoic lesions was tuberculosis in 6 patients and sarcoidosis in 2 patients. The final diagnosis in patients with cystic lesions was pseudocyst in 5 patients and simple cyst in 3 patients. One patient with splenic pseudocyst had a massive hemorrhage from a splenic artery pseudoaneurysm 7 days after FNA. No other major complication was encountered.

conclusionEUS-guided FNA of FSL is safe and provides adequate material for cytological examination, even in the case of small lesions.

Indexed as

cytologyendoscopic ultrasoundfine-needle aspirationKeywords Spleenpseudocystsarcoidosistuberculosis

Identifiers

PMID28845112
PMCPMC5566777
OpenAlexW2624617782

What OpenQuestion holds

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LicenceCC BY-NC-SA
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.