Percutaneous transgastric computed tomography-guided biopsy of the pancreas using large needles

Hsiuo Shan Tseng, Chia Yuen Chen, Wing P. Chan, Jen Huey Chiang

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

AIM: To assess the safety, yield and clinical utility of percutaneous transgastric computed tomography (CT)-guided biopsy of pancreatic tumor using large needles, in selected patients. METHODS: We reviewed 34 CT-guided biopsies in patients with pancreas mass, of whom 24 (71%) had a direct path to the mass without passing through a major organ. The needle passed through the liver in one case (3%). Nine passes (26%) were made through the stomach. These nine transgastric biopsies which used a coaxial technique (i.e. a 17-gauge coaxial introducer needle and an 18-gauge biopsy needle) were the basis of this study. Immediate and late follow-up CT images to detect complications were obtained. RESULTS: Tumor tissues were obtained in nine pancreatic biopsies, and histologic specimens for diagnosis were obtained in all cases. One patient, who had a rare sarcomatoid carcinoma, received a second biopsy. One patient had a complication of transient pneumoperitoneum but no subjective complaints. An immediate imaging study and clinical follow-up detected neither hemorrhage nor peritonitis. No delayed procedure-related complication was seen during the survival period of our patients. CONCLUSION: Pancreatic biopsy can be obtained by a transgastric route using a large needle as an alternative method, without complications of peritonitis or bleeding.

Original languageEnglish
Pages (from-to)5972-5975
Number of pages4
JournalWorld Journal of Gastroenterology
Volume15
Issue number47
DOIs
Publication statusPublished - Dec 21 2009

Keywords

  • Biopsy
  • Computed tomography
  • Pancreas
  • Stomach

ASJC Scopus subject areas

  • Gastroenterology

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