Evidence map›Paper›PMID 37681269›Full record

Observational studyThe Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology2023

Endoscopic Ultrasonography-Guided Fine-Needle Aspiration for Duodenal Subepithelial Lesions Showing a Hypoechoic Mass on Endoscopic Ultrasound Imaging.

Kazuaki Akahoshi, Kazuya Akahoshi, Yuki Shiratsuchi, Shinichi Tamura, Kento Uemura, Reiichi Sashihara, Yoshihiro Ohishi, Kanako Inoue, Tadashi Koga, Hidenobu Koga

Open access · diamondAbstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 31% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. 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

10 authors at 1 institution in 1 country.

Kazuaki AkahoshiEndoscopy Center, Aso Iizuka Hospital, Iizuka, Japan.
Kazuya AkahoshiEndoscopy Center, Aso Iizuka Hospital, Iizuka, Japan; Department of Medical Research Promotion, Aso Iizuka Hospital, Iizuka, Japan.
Yuki ShiratsuchiEndoscopy Center, Aso Iizuka Hospital, Iizuka, Japan.
Shinichi TamuraEndoscopy Center, Aso Iizuka Hospital, Iizuka, Japan.
Kento UemuraEndoscopy Center, Aso Iizuka Hospital, Iizuka, Japan.
Reiichi SashiharaEndoscopy Center, Aso Iizuka Hospital, Iizuka, Japan.
Yoshihiro OhishiDepartment of Pathology, Aso Iizuka Hospital, Iizuka, Japan.
Kanako InoueDivision of Central Laboratory, Aso Iizuka Hospital, Iizuka, Japan.
Tadashi KogaDepartment of Surgery, Aso Iizuka Hospital, Iizuka, Japan.
Hidenobu KogaDepartment of Medical Research Promotion, Aso Iizuka Hospital, Iizuka, Japan.
Aso Iizuka Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimsFor duodenal subepithelial lesions showing a hypoechoic mass on endoscopic ultrasound imaging, the utility of endoscopic ultrasound-guided fine-needle aspiration and the frequency of histological types have not been the focus of previous literature. This study aimed to clarify this. MATERIALS AND

methodsThis prospective observational study enrolled 22 consecutive patients who underwent endoscopic ultrasoundguided fine-needle aspiration for duodenal subepithelial lesions with hypoechoic mass on endoscopic ultrasound. Immunohistochemical analysis was performed for all endoscopic ultrasound-guided fine-needle aspiration and surgically resected specimens. The main outcome measures were the technical results of endoscopic ultrasound-guided fine-needle aspiration and the frequency of histological types of duodenal subepithelial lesions with hypoechoic mass.

resultsThirteen fine-needle aspiration specimens were obtained from the duodenal bulb and eight from the descending duodenal region. The puncture was not performed because of intervening vessels in one patient. The diagnostic rate was 81% (95% confidence interval: 58.1-94.6, 17/21 patients). In 12 patients receiving surgical resection (excluding one cancellation of endoscopic ultrasoundguided fine-needle aspiration), the diagnostic accuracy of endoscopic ultrasound-guided fine-needle aspiration was 75% (95% confidence interval: 42.8-94.5, 9/12 patients). No complications were observed. The histopathological diagnoses included 11 cases of gastrointestinal stromal tumor (50%), 2 cases of leiomyoma (9%), 2 cases of metastatic cancer (9%), 2 cases of benign inconclusive, and 1 case each of carcinoid, malignant lymphoma, leiomyosarcoma, gauzeoma, and aberrant pancreas (4.5% each). The frequency of malignant tumors in the duodenal subepithelial lesions with hypoechoic mass group was 73% (16/22 patients).

conclusionsEndoscopic ultrasound-guided fine-needle aspiration for duodenal subepithelial lesions with hypoechoic mass was safe and accurate. As duodenal subepithelial lesion with hypoechoic mass has a reasonably high possibility of containing malignant tumors, it is desirable to perform endoscopic ultrasound-guided fine-needle aspiration.

Indexed as

EndosonographyGastrointestinal Stromal TumorsDuodenumEndoscopic Ultrasound-Guided Fine Needle AspirationHumansPancreas

Identifiers

PMID37681269
PMCPMC10724752
OpenAlexW4386510382

What OpenQuestion holds

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LicenceCC BY
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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.