19Gauge Fine Needle Biopsy (FNB) Versus 22Gauge FNB for Endoscopic Ultrasound Guided Liver Biopsy (EUS-LB): A Randomized Prospective Trial
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Chronic Liver Disease
- Sponsor
- Geisinger Clinic
- Enrollment
- 42
- Locations
- 1
- Primary Endpoint
- Length of Longest Piece
- Status
- Completed
- Last Updated
- 4 years ago
Overview
Brief Summary
To determine the adequacy of EUS-LB using a 19G core needle compared to a 22G core needle in a prospective randomized study.
Detailed Description
The 19Gauge core and 22Gauge core needles have both been used for EUS-LB with good success. Previous studies have reported good safety and tissue adequacy with both the needles, but the head-on comparison between these two needles is lacking. This is a prospective randomized trial comparing the biopsy specimen adequacy of 19Gauge versus 22Gauge core needles for EUS-LB.
Investigators
David L. Diehl
Principal Investigator
Geisinger Clinic
Eligibility Criteria
Inclusion Criteria
- •Patients undergoing EUS-LB
- •Platelet Count \> 50,000
- •International normalized ratio (INR) \< 1.5
- •Age \> 18 years of age
- •Non-Pregnant Patients
Exclusion Criteria
- •Age \< 18 Years of Age
- •Pregnant Patients
- •Inability to obtain consent
- •Anticoagulants or anti-platelet agents (excluding aspirin) within the last 7 -10 days
- •Platelet count \< 50,000
- •Presence of Ascites
- •Known Liver Cirrhosis
Outcomes
Primary Outcomes
Length of Longest Piece
Time Frame: Up to 5 Days
Length of the longest piece of the liver tissue obtained
Secondary Outcomes
- Adverse Events and Serious Adverse Events(7 to 10 Days Post Procedure)
- Aggregate Specimen Length(3 to 5 Days)
- Degree of Fragmentation(3 to 5 Days)
- Number of Portal Tracts in the Specimen(3 to 5 Days)