Severe Bleeding and Perforation Are Rare Complications of Endoscopic Ultrasound-Guided Fine Needle Aspiration for Pancreatic Masses: An Analysis of 3,090 Patients from 212 Hospitals
Gut and Liver
;
: 215-218, 2014.
Article
in English
| WPRIM
| ID: wpr-187168
ABSTRACT
BACKGROUND/AIMS:
Endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) is useful for the pathological diagnosis of pancreatic masses, but patients are susceptible to severe bleeding and perforation. Because the incidence and severity of these complications have not been fully evaluated.METHODS:
We aimed to evaluate severe bleeding and perforation after EUS-FNA for pancreatic masses using large-scale data derived from a Japanese nationwide administrative database.RESULTS:
In total, 3,090 consecutive patients from 212 low- to high-volume hospitals were analyzed. Severe bleeding requiring transfusion or endoscopic treatment occurred in seven patients (0.23%), and no perforation was observed. No patient mortality was recorded within 30 days of EUS-FNA. The rate of severe bleeding in low-volume hospitals was significantly higher than that in medium- and high-volume hospitals (0.48% vs 0.10%, p=0.045).CONCLUSIONS:
Severe bleeding and perforation following EUS-FNA for pancreatic masses are rare, and the procedure is safe.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pancreatic Neoplasms
/
Blood Transfusion
/
Fibrinolytic Agents
/
Endoscopic Ultrasound-Guided Fine Needle Aspiration
/
Gastrointestinal Hemorrhage
/
Intestinal Perforation
Limits:
Female
/
Humans
/
Male
Language:
English
Journal:
Gut and Liver
Year:
2014
Type:
Article
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