目的:这一共识是由亚洲EUS集团(AEG)制定的,他旨在制定一套实践指南,解决内窥镜超声引导组织采集(EUS-TA)的各个方面。
方法:AEG发起了共识声明的制定,并成立了一个由外科医生组成的专家小组,胃肠病学家,和病理学家。举行了三次在线共识会议,以巩固声明和投票。这些声明在前两次协商一致会议上进行了介绍和讨论,并根据评论进行了修订。最后表决是在第三次协商一致会议上进行的。建议的分级,评估,发展,采用评估系统来确定建议的强度和证据质量。
结果:共20个关于EUS-TA的临床问题和陈述。委员会建议,对于上皮下病变的EUS-TA,细针活检(FNB)针优于常规细针抽吸(FNA)针。对于胰腺实性肿块,当使用FNB针时,不建议常规进行快速现场评估.对于专用FNB针头,叉尖和Franseen-tip针具有基本相同的性能。
结论:这一共识为EUS-TA提供了指导,从而提高了EUS-TA的质量。
OBJECTIVE: This
consensus was developed by the Asian EUS Group (AEG), who aimed to formulate a set of practice
guidelines addressing various aspects of endoscopic ultrasound-guided tissue acquisition (EUS-TA).
METHODS: The AEG initiated the development of
consensus statements and formed an expert panel comprising surgeons, gastroenterologists, and pathologists. Three online
consensus meetings were conducted to consolidate the statements and votes. The statements were presented and discussed in the first two consensus meetings and revised according to comments. Final voting was conducted at a third
consensus meeting. The Grading of Recommendations, Assessment, Development, and Evaluation system was adopted to define the strength of the recommendations and quality of evidence.
RESULTS: A total of 20 clinical questions and statements regarding EUS-TA were formulated. The committee recommended that fine-needle biopsy (FNB) needles be preferred over conventional fine-needle aspiration (FNA) needles for EUS-TA of subepithelial lesions. For solid pancreatic masses, rapid on-site evaluation is not routinely recommended when FNB needles are used. For dedicated FNB needles, fork-tip and Franseen-tip needles have essentially equivalent performance.
CONCLUSIONS: This consensus provides guidance for EUS-TA, thereby enhancing the quality of EUS-TA.