The Comparison of Wet Suction Technique and Dry Suction Technique in Endoscopic Ultrasound-guided Fine-needle Aspiration (EUS-FNA) for the Outcomes in Pancreatic Solid Lesions: a Prospective, Randomized Controlled, Blinded Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 50
- 试验地点
- 1
- 主要终点
- The primary outcome is defined as the overall diagnosis yield of solid lesions by EUS-FNA with each aspiration technique.
研究概览
简要总结
The objective of this randomized controlled trial is to evaluate whether wet suction technique (WST), compared with dry suction technique (DST), shall present a better outcome with regard to the diagnostic yield and specimen quality of patients with solid lesions in the pancreatics.
详细描述
Endoscopic ultrasound guided fine-needle aspiration (EUS-FNA) has become an inevitable indispensable method for acquiring a pathological diagnosis in a variety of clinical conditions. It has been widely used due to the high sensitivity, specificity and safety. In order to improve the puncture efficiency of FNA, many domestic and oversea scholars have conducted several clinical trials. Among them, there are many studies on the type of needle, needle pattern, slow pull or vacuum suction, and there are only two related reports on wet suction (saline) and dry suction technique. There still have many controversies in the researchers about which technique is more dominant in the wet or dry suction. The wet suction technique is relying on pre-flushing the needle with saline to replace the column of air with fluid followed by aspiration at the proximal end, using a prefilled suction syringe with saline. It has been suggested that the presence of a saline-solution column might keep the needle from getting clogged while avoiding the inherent inconvenience of a metal stylet, so that it can improve the quality of specimens, diminish the contamination of blood, and increase the diagnostic yield and accuracy. Wet suction may become the development trend of EUS-FNA in the future because the application of wet suction is expected to improve the diagnostic efficiency and the quality of samples in FNA.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Crossover
- 主要目的
- Diagnostic
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age > 18 years, < 80 years
- •female or male
- •Patients are required to undergo EUS-FNA after undergoing imaging examination (MRI, CT, or ultrasonography) which identify that the pancreatic lesions are existing and solid.
- •Agree to attend this study and signed informed consent letter
排除标准
- •bad physical condition, including hemoglobin ≤ 8.0 g/dl, severe cardiorespiratory dysfunction, and so on
- •Coagulopathy (platelet count < 50,000/mm3, international normalized ratio > 1.5) or having taken oral anticoagulation agents such as aspirin or warfarin in the previous week
- •Be rejected by anesthesia
- •Acute pancreatitis in the previous 2 weeks
- •Pregnant or lactation period
- •Psychiatric disease, drug addiction, or other reason for unreliable follow-up or questionnaires
- •Don't agree to attend this study and absence of informed consent
结局指标
主要结局
The primary outcome is defined as the overall diagnosis yield of solid lesions by EUS-FNA with each aspiration technique.
时间窗: 20 weeks
The primary outcome is defined as the overall diagnosis yield of solid lesions by EUS-FNA with each aspiration technique.
次要结局
- The forth outcome is the diagnose yield in malignant solid lesions by EUS-FNA with each aspiration technique.(20 weeks)
- The third outcome is the diagnose yield in benign solid lesions by EUS-FNA with each aspiration technique.(20 weeks)
- The second outcome is defined as the diagnose yield of first pass of solid lesions by EUS-FNA with each aspiration technique.(20 weeks)
- The fifth outcome is the diagnose yield in solid lesions in different parts of the pancreas by EUS-FNA with each aspiration technique.(20 weeks)