关于内镜超声波导向组织采集的共识声明. 亚洲内镜超声组的指导方针
Charing Ching-Ning Chong1, Rapat Pittayanon2, Nonthalee Pausawasdi3
1Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong SAR, China.
亚洲EUS小组制定了内镜超声波引导组织采集 (EUS-TA) 的指导方针. 细针活检 (FNB) 优先于细针吸收 (FNA) 在亚皮质病变.
科学领域:
- 胃肠病学 胃肠病学
- 内镜超声波检查结果
- 干预性内镜检查是干预性的内镜检查.
背景情况:
- 用内镜超声波引导的组织采集 (EUS-TA) 对于诊断各种疾病至关重要.
- 需要标准化的实践指南来优化EUS-TA程序.
- 亚洲EUS小组 (AEG) 召开会议以解决这一需求.
研究的目的:
- 制定内镜超声波导向组织采集 (EUS-TA) 的实践指南.
- 为EUS-TA程序提供基于共识的建议.
- 提高EUS-TA的质量和一致性.
主要方法:
- 由胃肠病学家,外科医生和病理学家组成的专家小组AEG制定共识陈述.
- 三次在线共识会议举行,讨论,修订和投票声明.
- 建议分级,评估,开发和评估 (GRADE) 系统被用来定义建议的强度和证据的质量.
主要成果:
- 关于EUS-TA的20个临床问题和陈述被制定出来.
- 建议使用精细针活检 (FNB) 针,而不是精细针吸收 (FNA) 针,用于EUS-TA的亚皮质病变.
- 在使用FNB针时,通常不建议对固体胰腺质量进行现场快速评估;叉尖和Franseen尖的FNB针表现相等.
结论:
- 形成的共识为EUS-TA提供了必要的指导.
- 预计这些准则的实施将提高EUS-TA的质量.
- 这种共识旨在在整个地区标准化EUS-TA的最佳实践.
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