Usefulness of endoscopic ultrasonography‐elastography as a predictive tool for the occurrence of pancreatic fistula after pancreatoduodenectomy

Abstract

Endoscopic ultrasonography-elastography may be an accurate and objective method for predicting PF following PD.

Predicting post‐operative pancreatic fistulae using preoperative pancreatic imaging: a systematic review

“…The search yielded 417 studies of which 18 met the inclusion criteria, were published between 2006 and 2017 and were included in the final analysis (Fig. ).…”

“…Of the 18 studies (Table S1), seven used MRI (654 patients), five used CT (1081 patients) and one used both MRI and CT (182 patients). A further four used transabdominal ultrasound‐based elastography (174 patients) while one study used EUS elastography (EUS EG) (59 patients). All the studies were retrospective and were from single centres in Japan, South Korea, USA, Turkey, Germany, Sweden, Italy and China .…”

“…A further four used transabdominal ultrasound‐based elastography (174 patients) while one study used EUS elastography (EUS EG) (59 patients). All the studies were retrospective and were from single centres in Japan, South Korea, USA, Turkey, Germany, Sweden, Italy and China . All included studies were considered high quality as determined by the MINORS tool (Table S2).…”

“…Kuwahara et al . compared the mean elasticity of the pancreas on EUS EG to paraffin‐embedded formalin‐fixed specimens and correlated the data in patients who went on to develop a POPF.…”

Non-alcoholic fatty pancreas disease – practices for clinicians

“…Add-on EUS modules such as real-time elastography (RTE) have provided semiquantitative or quantitative information in several pancreatic diseases [52] and expectations were made for pancreatic steatosis too. However, RTE during EUS as a measure of pancreatic elasticity has proven to be correlated with pancreatic fibrosis, but not with fatty infiltration staged by histology [53][54].…”