title: Endoscopic Evaluation in the Workup of Pancreatic Cancer.
abstract: Early diagnosis and accurate staging of pancreatic cancer is very important to plan optimal management strategy. Endoscopy plays an important role in the diagnosis and management of pancreatic cancer. Endoscopic ultrasound imaging (EUS) is the most sensitive modality for diagnosis, especially for small pancreatic tumors; it also allows tissue acquisition for histological diagnosis. Computed tomography scanning and EUS play complementary roles in staging and are comparable in determining resectability. Endoscopic retrograde cholangiopancreatography allows tissue sampling but is limited to palliative biliary drainage in most cases. In this article, we review the role of endoscopy in the diagnosis and management of pancreatic adenocarcinoma, with special emphasis on the use of endoscopic ultrasound and endoscopic retrograde cholangiopancreatography (ERCP).
authors.affiliation: Division of Gastroenterology and Hepatology, Case Western Reserve University, Wearn 247, 11100 Euclid Avenue, Cleveland, OH 44106, USA. Electronic address: ajay749@gmail.com.
authors.forename: Ajaypal
authors.initials: A
authors.lastname: Singh
authors.affiliation: Division of Gastroenterology and Hepatology, Case Western Reserve University, Wearn 247, 11100 Euclid Avenue, Cleveland, OH 44106, USA.
authors.forename: Ashley L
authors.initials: AL
authors.lastname: Faulx
mesh_terms: D055088:Early Detection of Cancer / Q000379:methods*; D016145:Endoscopy, Digestive System / Q000379:methods*; D006801:Humans; D010190:Pancreatic Neoplasms / Q000175:diagnosis*
keywords: Endoscopic retrograde cholangiopancreatography (ERCP); Endoscopic ultrasound (EUS); Fine-needle aspiration (FNA); Pancreatic ductal adenocarcinoma (PDAC)