Predictive factors for the diagnosis of autoimmune pancreatitis using endoscopic ultrasound-guided tissue acquisition: a retrospective study in Japan
Background/Aims The factors affecting the detection rate of lymphoplasmacytic sclerosing pancreatitis (LPSP) using endoscopic ultrasound-guided tissue acquisition (EUS-TA) in patients with type 1 autoimmune pancreatitis (AIP) have not been thoroughly studied. Therefore, we conducted a retrospective...
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| Language: | English |
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Korean Society of Gastrointestinal Endoscopy
2025-05-01
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| Series: | Clinical Endoscopy |
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| Online Access: | http://e-ce.org/upload/pdf/ce-2024-238.pdf |
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| author | Keisuke Yonamine Shinsuke Koshita Yoshihide Kanno Takahisa Ogawa Hiroaki Kusunose Toshitaka Sakai Kazuaki Miyamoto Fumisato Kozakai Haruka Okano Yuto Matsuoka Kento Hosokawa Hidehito Sumiya Yutaka Noda Kei Ito |
| author_facet | Keisuke Yonamine Shinsuke Koshita Yoshihide Kanno Takahisa Ogawa Hiroaki Kusunose Toshitaka Sakai Kazuaki Miyamoto Fumisato Kozakai Haruka Okano Yuto Matsuoka Kento Hosokawa Hidehito Sumiya Yutaka Noda Kei Ito |
| author_sort | Keisuke Yonamine |
| collection | DOAJ |
| description | Background/Aims The factors affecting the detection rate of lymphoplasmacytic sclerosing pancreatitis (LPSP) using endoscopic ultrasound-guided tissue acquisition (EUS-TA) in patients with type 1 autoimmune pancreatitis (AIP) have not been thoroughly studied. Therefore, we conducted a retrospective study to identify the predictive factors for histologically detecting level 1 or 2 LPSP using EUS-TA. Methods Fifty patients with AIP were included in this study, and the primary outcome measures were the predictive factors for histologically detecting level 1 or 2 LPSP using EUS-TA. Results Multivariate analysis identified the use of fine needle biopsy (FNB) needles as a significant predictive factor for LPSP detection (odds ratio, 15.1; 95% confidence interval, 1.62–141; p=0.02). The rate of good-quality specimens (specimen adequacy score ≥4) was significantly higher for the FNB needle group than for the fine needle aspiration (FNA) needle group (97% vs. 56%; p<0.01), and the FNB needle group required significantly fewer needle passes than the FNA needle group (median, 2 vs. 3; p<0.01). Conclusions The use of FNB needles was the most important factor for the histological confirmation of LPSP using EUS-TA in patients with type 1 AIP. |
| format | Article |
| id | doaj-art-c041f2d9d4284ac3bc044626f2432aa1 |
| institution | Kabale University |
| issn | 2234-2400 2234-2443 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Korean Society of Gastrointestinal Endoscopy |
| record_format | Article |
| series | Clinical Endoscopy |
| spelling | doaj-art-c041f2d9d4284ac3bc044626f2432aa12025-08-20T03:33:25ZengKorean Society of Gastrointestinal EndoscopyClinical Endoscopy2234-24002234-24432025-05-0158345746410.5946/ce.2024.2387970Predictive factors for the diagnosis of autoimmune pancreatitis using endoscopic ultrasound-guided tissue acquisition: a retrospective study in JapanKeisuke YonamineShinsuke KoshitaYoshihide KannoTakahisa OgawaHiroaki KusunoseToshitaka SakaiKazuaki MiyamotoFumisato KozakaiHaruka OkanoYuto MatsuokaKento HosokawaHidehito SumiyaYutaka NodaKei ItoBackground/Aims The factors affecting the detection rate of lymphoplasmacytic sclerosing pancreatitis (LPSP) using endoscopic ultrasound-guided tissue acquisition (EUS-TA) in patients with type 1 autoimmune pancreatitis (AIP) have not been thoroughly studied. Therefore, we conducted a retrospective study to identify the predictive factors for histologically detecting level 1 or 2 LPSP using EUS-TA. Methods Fifty patients with AIP were included in this study, and the primary outcome measures were the predictive factors for histologically detecting level 1 or 2 LPSP using EUS-TA. Results Multivariate analysis identified the use of fine needle biopsy (FNB) needles as a significant predictive factor for LPSP detection (odds ratio, 15.1; 95% confidence interval, 1.62–141; p=0.02). The rate of good-quality specimens (specimen adequacy score ≥4) was significantly higher for the FNB needle group than for the fine needle aspiration (FNA) needle group (97% vs. 56%; p<0.01), and the FNB needle group required significantly fewer needle passes than the FNA needle group (median, 2 vs. 3; p<0.01). Conclusions The use of FNB needles was the most important factor for the histological confirmation of LPSP using EUS-TA in patients with type 1 AIP.http://e-ce.org/upload/pdf/ce-2024-238.pdfautoimmune pancreatitisendoscopic ultrasound-guided fine needle aspirationfine needle biopsy |
| spellingShingle | Keisuke Yonamine Shinsuke Koshita Yoshihide Kanno Takahisa Ogawa Hiroaki Kusunose Toshitaka Sakai Kazuaki Miyamoto Fumisato Kozakai Haruka Okano Yuto Matsuoka Kento Hosokawa Hidehito Sumiya Yutaka Noda Kei Ito Predictive factors for the diagnosis of autoimmune pancreatitis using endoscopic ultrasound-guided tissue acquisition: a retrospective study in Japan Clinical Endoscopy autoimmune pancreatitis endoscopic ultrasound-guided fine needle aspiration fine needle biopsy |
| title | Predictive factors for the diagnosis of autoimmune pancreatitis using endoscopic ultrasound-guided tissue acquisition: a retrospective study in Japan |
| title_full | Predictive factors for the diagnosis of autoimmune pancreatitis using endoscopic ultrasound-guided tissue acquisition: a retrospective study in Japan |
| title_fullStr | Predictive factors for the diagnosis of autoimmune pancreatitis using endoscopic ultrasound-guided tissue acquisition: a retrospective study in Japan |
| title_full_unstemmed | Predictive factors for the diagnosis of autoimmune pancreatitis using endoscopic ultrasound-guided tissue acquisition: a retrospective study in Japan |
| title_short | Predictive factors for the diagnosis of autoimmune pancreatitis using endoscopic ultrasound-guided tissue acquisition: a retrospective study in Japan |
| title_sort | predictive factors for the diagnosis of autoimmune pancreatitis using endoscopic ultrasound guided tissue acquisition a retrospective study in japan |
| topic | autoimmune pancreatitis endoscopic ultrasound-guided fine needle aspiration fine needle biopsy |
| url | http://e-ce.org/upload/pdf/ce-2024-238.pdf |
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