Técnica híbrida (TH) versus estándar(TS) en la punción con aguja fina guiada por ecoendoscopia para lesiones sólidas del páncreas

  • Martín Alonso Gómez Zuleta Universidad Nacional de Colombia
  • Oscar Fernando Ruíz Morales Hospital Universitario Nacional de Colombia
  • Adán José Lúquez Minndiola Universidad Nacional de Colombia
Palabras clave: ultrasonografía endoscópica, cáncer de páncreas, punción aguja fina, citología

Resumen

La ultrasonografía endoscópica (USE) se usa ampliamente para evaluar enfermedades pancreatobiliares, especialmente masas pancreáticas. La USE tiene una buena capacidad para detectar masas pancreáticas, pero no es suficiente para el diagnóstico diferencial de varios tipos de lesiones. La aspiración endoscópica con aguja fina guiada por ultrasonido (USE-PAF) es el método de diagnóstico de elección para masas pancreáticas y su precisión se afecta por diversos métodos de punción.

Materiales y métodos: nuestro objetivo fue evaluar el rendimiento diagnóstico de la técnica de succión estándar (TS) versus la técnica húmeda híbrida (TH) en el estudio de lesiones sólidas en páncreas, utilizando un diseño prospectivo, con ocultación única, aleatorizado y controlado, que incluye a pacientes con diagnóstico de lesión sólida en páncreas a los que se realizó USE-PAF desde mayo de 2014 a junio de 2016.

Resultados: en total incluimos 65 pacientes, 34 (52,3%) se asignaron a USE-PAF con TH y 31 (47,7%) pacientes a USE-PAF con TS. Se encontró que la frecuencia relativa porcentual respecto a la técnica de punción en la USE-PAF en lesiones sólidas de páncreas, que permite obtener la cantidad de tejido adecuado para el diagnóstico citológico, fue de 85,2% para la TH y 71% para la TS, con un OR de 2,35 (IC 95%; 1,2-4,7) a favor de la TH.

Conclusión: este estudio sugiere que la TH es superior a la TS en el diagnóstico de las lesiones sólidas del páncreas, por lo cual, dado que la implementación de esta técnica no aumenta costos y es muy sencilla, sugerimos que sea la técnica de elección cuando se necesita puncionar una lesión sólida.

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Biografía del autor/a

Martín Alonso Gómez Zuleta, Universidad Nacional de Colombia

Especialista en gastroenterología, Universidad Nacional de Colombia. Especialista en medicina interna. Hospital Universitario Nacional de Colombia. Hospital Occidente de Kennedy. Unidad de gastroenterología y endoscopia (UGEC). Bogotá, Colombia.

Oscar Fernando Ruíz Morales, Hospital Universitario Nacional de Colombia

Especialista en gastroenterología y medicina interna, Universidad Nacional de Colombia y Universidad de San Martín. Hospital Occidente de Kennedy, Hospital Universitario Nacional de Colombia. Bogotá.

Adán José Lúquez Minndiola, Universidad Nacional de Colombia

Médico internista y gastroenterólogo. Universidad Nacional de Colombia. Bogotá.

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Publicado
2019-12-30
Cómo citar
Gómez Zuleta, M. A., Ruíz Morales, O. F., & Lúquez Minndiola, A. J. (2019). Técnica híbrida (TH) versus estándar(TS) en la punción con aguja fina guiada por ecoendoscopia para lesiones sólidas del páncreas. Revista Colombiana De Gastroenterología, 34(4), 337-344. https://doi.org/10.22516/25007440.450
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