Year 2020 / Volume 112 / Number 10
Letter
Reply: “Percutaneously guided or ultrasound-guided splenic punctures are safe procedures with a high diagnostic performance”

817-818

DOI: 10.17235/reed.2020.7419/2020

Gabriel Mosquera-Klinger, Carlos de la Serna,

Abstract
We appreciate the interest shown in our article “Endoscopic ultrasound-guided fine-needle aspiration for splenomegaly and focal splenic lesion: is it safe, effective and necessary?”, as well as the academic discussion raised by gastroenterology-ultrasound experts in the letter to the editor. In the discussion of our article, we mention that EUS-FNA is necessary and/or the first option in splenomegaly and/or small focal splenic lesions where percutaneous biopsy are limited, when difficulty accessing the focal splenic lesions, in obese patients and in those with ascites, recent abdominal surgery or a poor acoustic window.
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References
1. Mosquera-Klinger G, de la Serna Higuera C, Bazaga S, et al. Punciones esplénicas guiadas por ecoendoscopia: ¿eficaces, seguras, necesarias? Rev Esp Enferm Dig 2020; 112: 355-60. DOI: 10.17235/reed.2020.6667/2019.
2. Gómez-Rubio M, López-Cano A, Rendón P. Las punciones esplénicas ecodirigidas por vía percutánea o guiadas por ecoendoscopia son procedimientos seguros y con un elevado rendimiento diagnóstico. Rev Esp Enferm Dig 2020; En prensa.
3. Civardi G, Vallisa D, Bertè R, et al. Ultrasound-Guided fine needle biopsy of the spleen: High clinical efficacy and low risk in a multicenter Italian study. Am J Hematol 2001;67:93-9. DOI: 10.1002/ajh.1085
4. Gómez-Rubio M, López-Cano A, Rendón P, et al. Safety and diagnostic accuracy of percutaneous ultrasound-guided biopsy of the spleen: a multicenter study. J Clin Ultras 2009; 37: 445-50. DOI: 10.1002/jcu.20608
5. Rana S, Sharma V, Sharma R, et al. Safety and utility of endoscopic ultrasound-guided fine-needle aspiration of focal splenic lesions: a retrospective analysis. Ann Gastroenterol 2017;30(4):559-563.
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Mosquera-Klinger G, de la Serna C. Reply: “Percutaneously guided or ultrasound-guided splenic punctures are safe procedures with a high diagnostic performance”. 7419/2020


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Publication history

Received: 18/07/2020

Accepted: 30/07/2020

Online First: 21/09/2020

Published: 07/10/2020

Article Online First time: 65 days

Article editing time: 81 days


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