Ultrasound-assisted percutaneous liver biopsy: Superiority of the Tru-Cut over the Menghini needle for diagnosis of cirrhosis
A total of 1192 consecutive patients with diffuse liver disease were randomized to have percutaneous liver biopsy specimens taken with the Menghini or the Tru-Cut needle, to compare tissue yield, safety, and accuracy of the two needles for diagnosing cirrhosis. The sites of puncture were determined...
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Veröffentlicht in: | Gastroenterology (New York, N.Y. 1943) N.Y. 1943), 1988-08, Vol.95 (2), p.487-489 |
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container_title | Gastroenterology (New York, N.Y. 1943) |
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creator | Colombo, Massimo Del Ninno, Ersilio de Franchis, Roberto De Fazio, Cristina Festorazzi, Susanna Ronchi, Guido Tommasini, Maurizio A. |
description | A total of 1192 consecutive patients with diffuse liver disease were randomized to have percutaneous liver biopsy specimens taken with the Menghini or the Tru-Cut needle, to compare tissue yield, safety, and accuracy of the two needles for diagnosing cirrhosis. The sites of puncture were determined by prebiopsy ultrasound scans. Adequate samples were obtained from 94% with the Tru-Cut needle and from 79.2% with the Menghini needle (p < 0.001). Accuracy in diagnosing cirrhosis was 89.5% for the Tru-Cut needle and 65.5% for the Menghini needle (p < 0.05). Complication rates were very low and similar for both needles. Under these conditions, the Tru-Cut needle is superior to the Menghini needle for diagnosing cirrhosis. |
doi_str_mv | 10.1016/0016-5085(88)90509-4 |
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The sites of puncture were determined by prebiopsy ultrasound scans. Adequate samples were obtained from 94% with the Tru-Cut needle and from 79.2% with the Menghini needle (p < 0.001). Accuracy in diagnosing cirrhosis was 89.5% for the Tru-Cut needle and 65.5% for the Menghini needle (p < 0.05). Complication rates were very low and similar for both needles. Under these conditions, the Tru-Cut needle is superior to the Menghini needle for diagnosing cirrhosis.</description><identifier>ISSN: 0016-5085</identifier><identifier>EISSN: 1528-0012</identifier><identifier>DOI: 10.1016/0016-5085(88)90509-4</identifier><identifier>PMID: 3292338</identifier><identifier>CODEN: GASTAB</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Biological and medical sciences ; Biopsy, Needle - instrumentation ; Gastroenterology. Liver. Pancreas. Abdomen ; Humans ; Liver - pathology ; Liver Cirrhosis - pathology ; Liver. Biliary tract. Portal circulation. 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The sites of puncture were determined by prebiopsy ultrasound scans. Adequate samples were obtained from 94% with the Tru-Cut needle and from 79.2% with the Menghini needle (p < 0.001). Accuracy in diagnosing cirrhosis was 89.5% for the Tru-Cut needle and 65.5% for the Menghini needle (p < 0.05). Complication rates were very low and similar for both needles. Under these conditions, the Tru-Cut needle is superior to the Menghini needle for diagnosing cirrhosis.</description><subject>Biological and medical sciences</subject><subject>Biopsy, Needle - instrumentation</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Humans</subject><subject>Liver - pathology</subject><subject>Liver Cirrhosis - pathology</subject><subject>Liver. Biliary tract. Portal circulation. Exocrine pancreas</subject><subject>Medical sciences</subject><subject>Needles</subject><subject>Other diseases. 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Liver. Pancreas. Abdomen</topic><topic>Humans</topic><topic>Liver - pathology</topic><topic>Liver Cirrhosis - pathology</topic><topic>Liver. Biliary tract. Portal circulation. Exocrine pancreas</topic><topic>Medical sciences</topic><topic>Needles</topic><topic>Other diseases. Semiology</topic><topic>Random Allocation</topic><topic>Ultrasonography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Colombo, Massimo</creatorcontrib><creatorcontrib>Del Ninno, Ersilio</creatorcontrib><creatorcontrib>de Franchis, Roberto</creatorcontrib><creatorcontrib>De Fazio, Cristina</creatorcontrib><creatorcontrib>Festorazzi, Susanna</creatorcontrib><creatorcontrib>Ronchi, Guido</creatorcontrib><creatorcontrib>Tommasini, Maurizio A.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Gastroenterology (New York, N.Y. 1943)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Colombo, Massimo</au><au>Del Ninno, Ersilio</au><au>de Franchis, Roberto</au><au>De Fazio, Cristina</au><au>Festorazzi, Susanna</au><au>Ronchi, Guido</au><au>Tommasini, Maurizio A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ultrasound-assisted percutaneous liver biopsy: Superiority of the Tru-Cut over the Menghini needle for diagnosis of cirrhosis</atitle><jtitle>Gastroenterology (New York, N.Y. 1943)</jtitle><addtitle>Gastroenterology</addtitle><date>1988-08-01</date><risdate>1988</risdate><volume>95</volume><issue>2</issue><spage>487</spage><epage>489</epage><pages>487-489</pages><issn>0016-5085</issn><eissn>1528-0012</eissn><coden>GASTAB</coden><abstract>A total of 1192 consecutive patients with diffuse liver disease were randomized to have percutaneous liver biopsy specimens taken with the Menghini or the Tru-Cut needle, to compare tissue yield, safety, and accuracy of the two needles for diagnosing cirrhosis. The sites of puncture were determined by prebiopsy ultrasound scans. Adequate samples were obtained from 94% with the Tru-Cut needle and from 79.2% with the Menghini needle (p < 0.001). Accuracy in diagnosing cirrhosis was 89.5% for the Tru-Cut needle and 65.5% for the Menghini needle (p < 0.05). Complication rates were very low and similar for both needles. Under these conditions, the Tru-Cut needle is superior to the Menghini needle for diagnosing cirrhosis.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>3292338</pmid><doi>10.1016/0016-5085(88)90509-4</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
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source | MEDLINE; ScienceDirect Freedom Collection (Elsevier); Alma/SFX Local Collection |
subjects | Biological and medical sciences Biopsy, Needle - instrumentation Gastroenterology. Liver. Pancreas. Abdomen Humans Liver - pathology Liver Cirrhosis - pathology Liver. Biliary tract. Portal circulation. Exocrine pancreas Medical sciences Needles Other diseases. Semiology Random Allocation Ultrasonography |
title | Ultrasound-assisted percutaneous liver biopsy: Superiority of the Tru-Cut over the Menghini needle for diagnosis of cirrhosis |
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