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Clinical yield of endoscopic ultrasound and endoscopic ultrasound‐guided fine‐needle aspiration for incidental pancreatic cysts in kidney transplant evaluation
Author(s) -
Rejeski Jared,
Rogers Jeffrey,
Hauser Matthew,
Mishra Girish
Publication year - 2017
Publication title -
clinical transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.918
H-Index - 76
eISSN - 1399-0012
pISSN - 0902-0063
DOI - 10.1111/ctr.12999
Subject(s) - medicine , endoscopic ultrasound , fine needle aspiration , malignancy , radiology , transplantation , endoscopy , kidney transplantation , surgery , biopsy , pathology
For several reasons, including an elevated risk for malignancy after transplant, kidney transplant candidates undergo a thorough evaluation prior to transplantation. Further assessment of incidentally discovered pancreatic cysts on routine abdominal imaging has been assumed to be prudent, and the preferred method has been endoscopic ultrasound ( EUS ) and endoscopic ultrasound‐guided fine‐needle aspiration ( EUS ‐ FNA ). The clinical utility of EUS / EUS ‐ FNA with respect to transplant decision‐making has not been evaluated. Materials and Methods Kidney transplant candidates undergoing EUS / EUS ‐ FNA for further evaluation of one or more pancreatic cysts were identified. The clinical yield of the EUS / EUS ‐ FNA was determined via retrospective chart review. Results After exclusion criteria were applied, a total of 15 cases were identified at a high‐volume transplant center over a 71‐month period. EUS / EUS ‐ FNA was deemed to have a clinically relevant impact in 73.3% of cases. Conclusion Kidney transplant candidates are a unique group with respect to the need to clarify the etiology of pancreatic cysts. EUS / EUS ‐ FNA frequently provides information that is clinically relevant to the determination of transplant status.