title: Role of Endoscopic Ultrasonography and Endoscopic Retrograde Cholangiopancreatography in the Clinical Assessment of Pancreatic Neoplasms.
abstract: Accurate diagnosis and staging of pancreatic neoplasms is essential for surgical planning and identification of locally advanced and metastatic disease that is incurable by surgery. The ability to position the endoscopic ultrasonography (EUS) transducer close to the pancreas combined with the use of fine-needle aspiration enables the accurate diagnosis of pancreatic cysts and solid masses. EUS is also increasingly being used to procure core tissue for molecular analysis that facilitates personalized treatment of pancreatic cancer. Various therapeutic interventions can be undertaken under EUS guidance. This article focuses on the applications of EUS and endoscopic retrograde cholangiopancreatography in pancreatic neoplasms.
authors.affiliation: Center for Interventional Endoscopy, Florida Hospital, 601 East Rollins Street, Orlando, FL 32803, USA. Electronic address: svaradarajulu@yahoo.com.
authors.forename: Shyam
authors.initials: S
authors.lastname: Varadarajulu
authors.affiliation: Division of Gastroenterology-Hepatology, Indiana University, 702 Rotary Circle, Suite 225, Indianapolis, IN 46202, USA.
authors.forename: Ji Young
authors.initials: JY
authors.lastname: Bang
mesh_terms: D015415:Biomarkers; D001707:Biopsy, Needle; D002760:Cholangiopancreatography, Endoscopic Retrograde; D004322:Drainage; D019160:Endosonography; D006801:Humans; D041781:Jaundice, Obstructive / Q000209:etiology / Q000628:therapy*; D010179:Pancreas / Q000000981:diagnostic imaging*; D010190:Pancreatic Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology; D011379:Prognosis; D019919:Prosthesis Implantation; D015607:Stents; D018084:Ultrasonography, Interventional
chemical_list: D015415:Biomarkers
keywords: Biliary decompression; Endoscopic retrograde cholangiopancreatography; Endoscopic ultrasonography; Fine-needle aspiration; Pancreatic cancer; Pancreatic cyst neoplasm