Hi, thanks for sharing your technique. May I ask, can you obtain the same excellent cores from pancreatic masses (like you did from the liver) by using a 19G FNA needle with wet suction technique too? We have plenty of 19G FNA needles left in our unit which we don't seem to be using, because we have always used 22G FNB needles for pancreatic masses.
HI, thank you for your comment and question. firstly, most people shy away from using 19 g in the pancreas primarily due to perceived increse risk in pancreatitis. I am not sure if there is data to support that and it should be ok. The issue is trying to use a 19g in the bulbor first portion of the duodenum, From the Body it should be fine. As far as wet suction is concerned, this is a personal choice. Any study looking at wet v dry suction v no suction really shows mixed results. USe what technique you like in this regard
Hi, thanks for sharing your technique. May I ask, can you obtain the same excellent cores from pancreatic masses (like you did from the liver) by using a 19G FNA needle with wet suction technique too? We have plenty of 19G FNA needles left in our unit which we don't seem to be using, because we have always used 22G FNB needles for pancreatic masses.
HI, thank you for your comment and question. firstly, most people shy away from using 19 g in the pancreas primarily due to perceived increse risk in pancreatitis. I am not sure if there is data to support that and it should be ok. The issue is trying to use a 19g in the bulbor first portion of the duodenum, From the Body it should be fine. As far as wet suction is concerned, this is a personal choice. Any study looking at wet v dry suction v no suction really shows mixed results. USe what technique you like in this regard