Echo-enhanced color- and power-Doppler EUS for the discrimination between focal pancreatitis and pancreatic carcinoma

Becker, Dirk; Strobel, D; Bernatik, T.; Hahn, Eckhart G.

doi:10.1067/mge.2001.115007

Cited by 151 publications

(96 citation statements)

References 24 publications

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“…According to published reports, hypoenhancing masses were regarded as a sign of malignancy in CEH-EUS. The first feasibility study reported good values of sensitivity, specificity and accuracy for the differential diagnosis between adenocarcinoma and focal chronic pancreatitis [53] . This was further confirmed in two other studies by Sakamoto et al [54] and Dietrich et al [55] in which adenocarcinomas showed hypoenhancement compared with neuroendocrine tumors and pseudotumoral (mass-forming) pancreatitis, which cer staging and assessing resectability is CT because its low cost and high availability [72] and MRI for preoperative assessment of pancreatic cancer, with an accuracy of 86% vs 71% even with comparable sensitivity of MRI for detecting pancreatic cancer (88%-96%) [73] .…”

Section: Contrast-enhanced Eus (Ceh-eus) Is Performedmentioning

confidence: 99%

Role of endoscopic ultrasound in the diagnosis of pancreatic cancer

Gonzalo-Marin¹

2014

WJGO

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Endoscopic ultrasonography (EUS) with or without fine needle aspiration has become the main technique for evaluating pancreatobiliary disorders and has proved to have a higher diagnostic yield than positron emission tomography, computed tomography (CT) and transabdominal ultrasound for recognising early pancreatic tumors. As a diagnostic modality for pancreatic cancer, EUS has proved rates higher than 90%, especially for lesions less than 2-3 cm in size in which it reaches a sensitivity rate of 99% vs 55% for CT. Besides, EUS has a very high negative predictive value and thus EUS can reliably exclude pancreatic cancer. The complication rate of EUS is as low as 1.1%-3.0%. New technical developments such as elastography and the use of contrast agents have recently been applied to EUS, improving its diagnostic capability. EUS has been found to be superior to the recent multidetector CT for T staging with less risk of overstaying in comparison to both CT and magnetic resonance imaging, so that patients are not being ruled out of a potentially beneficial resection. The accuracy for N staging with EUS is 64%-82%. In unresectable cancers, EUS also plays a therapeutic role by means of treating oncological pain through celiac plexus block, biliary drainage in obstructive jaundice in patients where endoscopic retrograde cholangiopancreatography is not affordable and aiding radiotherapy and chemotherapy. Key words: Endosonography; Pancreatic neoplasms; Endoscopy; Diagnosis; Neoplasm Staging; Therapeutics Core tip: In this article, the role of endoscopic ultrasonography as a diagnostic, staging and therapeutic procedure in patients with pancreatic cancer is discussed and all the current knowledge on this subject is summarized, providing the reader with a quick update.Gonzalo-Marin J, Vila JJ, Perez-Miranda M. Role of endoscopic ultrasound in the diagnosis of pancreatic cancer. World J Gastrointest Oncol 2014; 6(9): 360-368 Available from: URL:

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Section: Contrast-enhanced Eus (Ceh-eus) Is Performedmentioning

confidence: 99%

Role of endoscopic ultrasound in the diagnosis of pancreatic cancer

Gonzalo-Marin¹

2014

WJGO

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“…Two months later, we performed an Oc− treoscan and serum tests of vasoactive intestinal peptide (VIP) and chromogra− nin A (CgA), which were normal. EUS with contrast enhanced detected areas of fibrosis [3]. At present, after a follow−up period of 18 months, the patient is asymptomatic, without recurrent dis− ease; abdominal nuclear magnetic reso− nance is negative.…”

mentioning

confidence: 96%

Treatment of a pancreatic endocrine tumor by ethanol injection guided by endoscopic ultrasound

Muscatiello¹,

Salcuni²,

Macarini³

et al. 2008

Endoscopy

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“…In addition, EUS demonstrated a limited potential for the prediction of histologic types of lesions [84] . Whether, as concluded from a small study on 23 patients, echo-enhanced power-Doppler EUS can reliably differentiate pancreatic neoplasms and focal pancreatitis [85] remains to be seen when applied to larger patient groups.…”

Section: Role Of Eusmentioning

confidence: 99%

Role of pancreatic endoscopic ultrasonography in 2010

Papanikolaou¹

2010

WJGE

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Endoscopic ultrasonography (EUS) was introduced 25 years ago aiming at better visualization of the pancreas compared to transabdominal ultrasonography. This update discusses the current evidence in 2010 concerning the role of EUS in the clinical management of patients with pancreatic disease. Major indications of EUS are: (1) Detection of common bile duct stones (e.g. in acute pancreatitis); (2) Detection of small exo-and endocrine pancreatic tumours; and (3) Performance of fine needle aspiration in pancreatic masses depending on therapeutic consequences. EUS seems to be less useful in cases of chronic pancreatitis and cystic pancreatic lesions. Moreover the constant improvement of computed tomography has limited the role of EUS in pancreatic cancer staging. On the other hand, new therapeutic options are available due to EUS, such as pancreatic cyst drainage and celiac plexus neurolysis, offering a new field in which new techniques may arise. So the main goal of this review is to determine the exact role of EUS in a number of pancreatic and biliary diseases.

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Echo-enhanced color- and power-Doppler EUS for the discrimination between focal pancreatitis and pancreatic carcinoma

Cited by 151 publications

References 24 publications

Role of endoscopic ultrasound in the diagnosis of pancreatic cancer

Role of endoscopic ultrasound in the diagnosis of pancreatic cancer

Treatment of a pancreatic endocrine tumor by ethanol injection guided by endoscopic ultrasound

Role of pancreatic endoscopic ultrasonography in 2010

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