“…These complications have led to the development of an anterior approach under the guidance of transcutaneous US, CT or EUS [17,18,19,20]. However, they can be avoided through the use of EUS, which allows direct access to the CP and real-time imaging of the celiac space for CPN as well as fine needle aspiration for diagnostic purposes and tumor staging [21,22]. Thus, since it was first reported by Wiersema and Wiersema [23 ]in 1996, EUS-CPN is now a widely practiced alternative approach.…”