Interventional EUS for the treatment of pancreatic cancer.
Since the curved linear array echoendoscope (linear EUS) was developed in the 1990s, EUS has evolved from EUS imaging, to EUS-guided FNA, and now to EUS-guided fine needle injection (FNI), giving EUS even wider application. This advancement has brought "interventional EUS" into the pancreato-biliary field. Interventional EUS for pancreatic cancer includes delivery of contrast agents, drainage/anastomosis, celiac neurolysis (including ganglion neorolysis), radiofrequency ablation, photodynamic therapy, brachytherapy, and delivery of a growing number of anti-tumor agents. This review will focus on interventional EUS in the treatment of pancreatic cancer.
Ashida
Reiko
R
Irvine Medical Center, H.H.Chao Comprehensive Digestive Disease Center, University of California, 101 The City Drive, Orange, CA 92868, USA. rashida@goo.jp
Chang
Kenneth J
KJ
D000971:Antineoplastic Combined Chemotherapy Protocols / Q000008:administration & dosage; D044963:Biopsy, Fine-Needle; D001918:Brachytherapy / Q000379:methods; D017115:Catheter Ablation / Q000379:methods; D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000379:methods; D004322:Drainage / Q000379:methods; D019160:Endosonography / Q000379:methods*; D005260:Female; D006801:Humans; D015552:Injections, Intralesional; D008297:Male; D009407:Nerve Block / Q000379:methods; D010190:Pancreatic Neoplasms / Q000000981:diagnostic imaging* / Q000628:therapy*; D010778:Photochemotherapy / Q000379:methods; D018570:Risk Assessment; D012680:Sensitivity and Specificity; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional / Q000379:methods*