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Fotocópia
Id: 181594
Autor: Tejero-Pintor, Francisco J; Blanco-Álvarez, José I; Bailón-Cuadrado, Martín; Rodríguez-López, Mario.
Título: Absceso cervicotorácico secundario a punción con aguja fina guiada por ecografía endoscópica transesofágica / Cervicothoracic abscess secondary to transesophageal ultrasound-guided fine needle aspiration
Fonte: Gastroenterol. hepatol. (Ed. impr.);42(1):35-36, ene. 2019. ilus.
Idioma: es.
Resumo: No disponible
Responsável: ES1.1
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Fotocópia
Id: 178165
Autor: Duarte-Flores, José Octavio; González-Fausto, Aura Anaid; Corona-Sevilla, Luis Isaac; Gómez-Herrero, Helena.
Título: Adecuación de pruebas diagnósticas y manejo no invasivo en ancianos con cáncer de pulmón: punción por aguja fina guiada por ultrasonido de adenopatía supraclavicular / Adaptation of diagnostic tests and non-invasive management in the elderly with lung cancer: ultrasound guided fine needle puncture of enlarged supraclavicular lymph node
Fonte: Rev. esp. geriatr. gerontol. (Ed. impr.);53(6):356-357, nov.-dic. 2018. ilus.
Idioma: es.
Resumo: No disponible
Responsável: ES1.1
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  3 / 30 IBECS  
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Fotocópia
Texto completo SciELO Espanha
Id: 177774
Autor: Yang, Lei; Iwai, Tomohisa; Kida, Mitsuhiro; Yamauchi, Hiroshi; Okuwaki, Kosuke; Imaizumi, Hiroshi; Kaneko, Tohru; Hasegawa, Rikiya; Miyata, Eiji; Wasaburo, Koizumi.
Título: Analysis of the diagnostic yield of endoscopic ultrasonography-guided fine-needle aspiration in patients with a suspected pancreatic malignanc
Fonte: Rev. esp. enferm. dig;110(9):544-550, sept. 2018. tab.
Idioma: en.
Resumo: Objectives: to determine the diagnostic yield of endoscopic ultrasonography-guided fine-needle aspiration (EUS-FNA) for suspected pancreatic malignancy. As well as to identify factors that affect the incidence of false-negative cases and evaluate the value of repeated EUS-FNA in patients with inconclusive results. Methods: we retrospectively evaluated the data of patients who underwent EUS-FNA due to a suspected pancreatic malignancy in our hospital from January 2015 to December 2016. Results: a total of 194 EUS-FNA procedures performed and 175 cases were analyzed. The overall sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV) and accuracy were 83.4% (151/181), 100% (13/13), 100% (151/151), 30.2% (13/43), and 84.5% (164/194), respectively. The combination of cytological and histological examination significantly increased the diagnostic performance compared to either method alone. The diagnostic sensitivity in metastatic tumors was significantly lower than that for adenocarcinoma. EUS-FNA performed using standard needles combined with the "slow-pull" technique had a lower sensitivity than other methods. According to the multivariate analysis, neither the combination of needle type and suction technique nor final diagnosis were independent factors that affected the diagnostic sensitivity. The sensitivity of repeated EUS-FNA was 50.0% (8/16). Definitive results after a repeated puncture were more likely for pancreatic body and tail masses, heterogeneous lesions and poorly demarcated lesions. However, the difference was not significant. Conclusions: EUS-FNA was accurate for the evaluation of a suspected pancreatic malignancy. Metastatic tumors and the use of a standard needle in combination with the slow-pull technique may increase the incidence of false-negative results. Repeated EUS-FNA has limited value but should be considered for selected cases where the suspicion of malignancy persists

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Texto completo SciELO Espanha
Id: 177761
Autor: Iglesias García, Julio; Lariño-Noia, José; Abdulkader Nallib, Ihab; Lindkvist, Björn; Domínguez-Muñoz, J Enrique.
Título: Endoscopic ultrasound (EUS) guided fine needle biopsy (FNB) with the Procore(TM) needle provides inadequate material for the histological diagnosis of early chronic pancreatitis
Fonte: Rev. esp. enferm. dig;110(8):510-514, ago. 2018. ilus, tab.
Idioma: en.
Resumo: Background: diagnosis of early chronic pancreatitis (CP) is hampered due to the low accuracy of current imaging techniques and the absence of methods for histological confirmation. We aimed to evaluate the efficacy of endoscopic ultrasound-guided fine needle biopsy (EUS-FNB) for the histological diagnosis of early CP. Methods: a prospective, cross-sectional, single-center study was designed. Consecutive patients referred for EUS with a clinical suspicion of CP were evaluated for inclusion into the study. Inclusion criteria were age > 18 years and indeterminate EUS findings for the diagnosis of CP according to the Rosemont classification. EUS-FNB of the body of the pancreas was performed with Procore(TM) needles. Tissue samples were immersed into a methanol-based buffered preservative solution for cytohistological evaluation. The quality of the samples obtained and the histological findings were evaluated. Procedure-related complications were recorded. Results: the study was stopped after eleven patients were included due to safety concerns and poor diagnostic yield. The mean age of the patients was 50.3 years (range 33-70 years) and six were male. Samples were of poor quality in five cases, but were sufficient for cell-block evaluation. An inflammatory infiltration with mild fibrosis was identified in two cases and neither inflammatory infiltration nor fibrosis was identified in three cases. With regard to the other six cases, isolated inflammatory cells were observed in one case, although the cellularity was poor and unsuitable for cytological evaluation in five cases. There was one major complication (9.1%) of acute pancreatitis that required hospitalization for 48 hours. Conclusion: EUS-FNB is technically feasible in patients with EUS findings categorized as indeterminate for a CP diagnosis. However, the diagnostic yield is poor and there is a non-negligible risk of complications

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Texto completo SciELO Espanha
Id: 177756
Autor: Lariño-Noia, José; Iglesia, Daniel de la; Iglesias-García, Julio; Macías, Manuel; López Martín, Aurelio; Legaz, María Luisa; Vila, Juan; Reyes, Antonio; Abdulkader, Ihab; Domínguez-Muñoz, J Enrique.
Título: Endoscopic ultrasound cytologic brushing vs endoscopic ultrasound - fine needle aspiration for cytological diagnosis of cystic pancreatic lesions. A multicenter, randomized open-label trial
Fonte: Rev. esp. enferm. dig;110(8):478-484, ago. 2018. ilus, tab, graf.
Idioma: en.
Resumo: Introduction: the incidence of cystic pancreatic lesions (CPL) in the asymptomatic population is increasing. Achieving a preoperative diagnosis of CPL still remains a challenge. Objectives: to evaluate the diagnostic accuracy of the cytological diagnosis of CPL from samples obtained by cytology brush versus standard endoscopic ultrasound fine needle aspiration (EUS-FNA). Methods: a multicenter, randomized, open-label trial was performed of EUS-cytology brush (EUS-EB) versus EUS-FNA for the cytological diagnosis of CPL. Patients that underwent EUS-FNA with a CPL > 15 mm were included and randomized into two groups: group I, EUS-EB; group II, EUS-FNA. The final diagnosis was based on the histological evaluation of surgical specimens and clinical parameters, imaging and a five year follow-up in non-operated patients. The main outcome was the diagnostic accuracy of both methods. Secondary outcomes were the diagnostic adequacy of specimens and the rate of adverse events. Data were compared using the Chi-squared test. An intention to treat (ITT) and per-protocol (PP) analysis were performed. Results: sixty-five patients were included in the study, 31 in group I and 34 in group II. Three patients initially randomized to group I were changed to group II as it was impossible to obtain a sample using the brush. The mean size of the CPL was 28.2 mm (range 16-60 mm). The diagnostic accuracy of EUS-EB was not superior to EUS-FNA, neither in the ITT nor the PP analysis (44.8% vs 41.1%, p = 0.77 and 38.4% vs 45.9%, p = 0.55). Conclusions: EUS-EB does not improve the diagnostic accuracy of CPL in comparison with EUS-FNA

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Texto completo SciELO Espanha
Id: 177717
Autor: Sebastián-Tomás, Juan Carlos; Payá-Llorente, Carmen; Ortiz-Tarín, Inmaculada.
Título: Fiabilidad de los criterios de malignidad para el tumor papilar mucinoso intraductal. ¿Fe ciega en las guías de consenso? / Accuracy of malignancy criteria for an intraductal papillary mucinous neoplasm. Should we have blind faith in consensus guidelines?
Fonte: Rev. esp. enferm. dig;110(7):469-470, jul. 2018. ilus.
Idioma: es.
Resumo: No disponible
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Texto completo SciELO Espanha
Id: 177709
Autor: Roger, Manuela; Martínez, Juan; Aparicio, José Ramón; Peiró, Gloria; Ruiz, Francisco; Compañy, Luís; Casellas, Juan Antonio.
Título: EUS-FNA cytological material from pancreatic lesions: the expression of cathepsins and its predictive value of malignancy
Fonte: Rev. esp. enferm. dig;110(7):446-450, jul. 2018. tab, graf.
Idioma: en.
Resumo: Aims: To assess the expression of cathepsins in pancreatic samples obtained by endoscopic ultrasonography and fine needle aspiration (EUS-FNA) and to investigate their relationship with the staging of the pancreatic ductal adenocarcinoma (PDAC). Methods: We prospectively included patients with solid pancreatic masses, in which EUS-FNA were performed. Cathepsins B, L, S and H expression was determined in FNA samples. Results: Seventeen FNA were performed. All cytological material was from PDAC. Expression of cathepsins was predominantly low (B 65%, L 23%, S 76%, and H 41%). We found no correlation between the expression levels and the extension of the neoplasm. Conclusion: Expression of cathepsins in the cytological material of PDAC is diverse but still poor to be useful in the pre-operative diagnosis. There is no correlation between the expression levels of cathepsins and the extension of the PDAC

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Texto completo SciELO Espanha
Id: 177690
Autor: Cañete-Ruiz, Ángel; Foruny-Olcina, José-Ramón; González-Panizo, Fernando; Caminoa, Alejandra; Navarro, Antonia; Juzgado-Lucas, Diego; Albillos-Martínez, Agustín; Vázquez-Sequeiros, Enrique.
Título: Evaluación prospectiva y controlada de las características técnicas de un nuevo ecoendoscopio de punción frontal / A prospective, controlled assessment of the technical characteristics of a novel forward-viewing echoendoscope
Fonte: Rev. esp. enferm. dig;110(6):365-371, jun. 2018. tab, graf.
Idioma: es.
Resumo: Introducción: la ultrasonografía endoscópica (USE) es una técnica de gran utilidad en el diagnóstico y tratamiento de distintas patologías del tracto digestivo. Objetivo: evaluar de forma prospectiva la utilidad clínica de un nuevo ecoendoscopio de visión frontal (FV-CLA). Métodos: estudio observacional transversal. Todos los pacientes sometidos a una USE durante un periodo de dos meses fueron evaluados para su inclusión en el estudio. Se analizaron de forma sistemática todas las estaciones mediastínicas, perigástricas y periduodenales (evaluando la facilidad de obtener los cortes ultrasonográficos y la calidad de los mismos) y se realizó punción de las lesiones indicadas clínicamente. Resultados: se incluyeron un total de 45 pacientes. La exploración ecoendoscópica pudo ser completada en el 100% de los pacientes, registrándose dos complicaciones menores. La manejabilidad del ecoendoscopio fue catalogada como sobresaliente; la visibilidad global del plano USE, como notable; y tan solo la visualización USE de las estaciones 4L y 5 fue puntuada como insuficiente. La visualización del páncreas y del resto de las estaciones USE fue puntuada como sobresaliente o notable. La facilidad de realizar punción, incluso desde la segunda porción duodenal, fue puntuada como notable o sobresaliente. Conclusión: el FV-CLA permite realizar una exploración completa y de calidad en el tracto digestivo superior, incluyendo punciones. Existen algunas estaciones mediastínicas que parecen poco accesibles para este nuevo aparato. Sería interesante validar la utilidad del FV-CLA en la terapéutica guiada por USE

Introduction: endoscopic ultrasound (EUS) is a highly useful technique for the diagnosis and management of different gastrointestinal (GI) tract conditions. Objective: to prospectively assess the clinical usefulness of a novel forward-viewing echoendoscope (FV-CLA). Methods: this was a cross-sectional observational study. All patients that underwent EUS over a two-month period were considered for the study. All mediastinal, perigastric and periduodenal stations were consistently assessed with a rating from 0 to 10 points with regard to the ease to obtain ultrasonographic sections and the quality of ultrasound images. The identified lesions were punctured when clinically indicated. Results: a total of 45 patients were included. EUS was completed in 100% of patients, with two minor complications recorded. Echoendoscope maneuverability was graded as "A" (9-10 points), overall plane visibility was graded as "B" (7-8 points) and only stations 4L and 5 visualization were graded as "D" (< 7 points). Visualization of the pancreas and the rest of the EUS stations were rated as excellent or very good. The feasibility to perform EUS-FNA, even from the second portion of the duodenum, was graded excellent or very good. Conclusion: the FV-CLA allows a complete, high-quality examination of the upper GI tract, including EUS-FNA punctures. Some mediastinal stations are hardly accessible with this new device. A formal validation of the FV-CLA for EUS-guided therapy would be of interest
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Texto completo
Id: 176703
Autor: Martin-Deleon, Roberto; Llabrés de Prada, Marta; López-Giraldo, Alejandra.
Título: Hiperplasia difusa idiopática de células neuroendocrinas como causa de tos crónica / Diffuse Idiopathic Pulmonary Neuroendocrine Cell Hyperplasia Causing Chronic Cough
Fonte: Arch. bronconeumol. (Ed. impr.);54(11):577-577, nov. 2018. ilus.
Idioma: es.
Resumo: No disponible
Responsável: ES1.1
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Texto completo
Id: 176131
Autor: Penin, Manuel.
Título: Respuesta a cartas al editor sobre la curva de aprendizaje de punción-aspiración con aguja fina de tiroides / Reply to letters to the editor on the thyroid fine needle aspiration biopsy learning curve
Fonte: Endocrinol. diabetes nutr. (Ed. impr.);65(7):423-424, ago.-sept. 2018.
Idioma: es.
Resumo: No disponible
Responsável: ES1.1
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