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
Hauptverfasser: Colombo, Massimo, Del Ninno, Ersilio, de Franchis, Roberto, De Fazio, Cristina, Festorazzi, Susanna, Ronchi, Guido, Tommasini, Maurizio A.
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container_end_page 489
container_issue 2
container_start_page 487
container_title Gastroenterology (New York, N.Y. 1943)
container_volume 95
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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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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