Clin Endosc.  2015 Jul;48(4):308-311. 10.5946/ce.2015.48.4.308.

Endoscopic Ultrasound-Guided Treatment of Pancreatic Cystic and Solid Masses

Affiliations
  • 1Department of Internal Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea. drjaihwan@gmail.com

Abstract

Pancreatic tumor is one of the most difficult diseases to diagnose and treat because of its anatomical location and characteristics. Recently, there have been several innovative trials on the treatment of pancreatic tumors using endoscopic ultrasound (EUS) because it allows selective access to the difficult to reach target organ along the gastrointestinal tract and can differentiate vessels by color Doppler. Among these trials, several have investigated EUS-guided ethanol lavage with or without paclitaxel for pancreatic cystic tumors. These studies show a 33% to 79% complete resolution rate with a favorable safety profile. Compared to EUS-guided ethanol lavage for pancreatic cystic tumors, EUS-guided radiofrequency ablation is considered a less invasive treatment method for pancreatic cancer. Although there are still several difficulties and concerns about complications, one clinical study reported 72.8% feasibility with favorable safety, and therefore, we anticipate the results of ongoing studies with these new less invasive techniques.

Keyword

Endosonography; Pancreatic cyst; Pancreatic neoplasms; Ablation

MeSH Terms

Catheter Ablation
Endosonography
Ethanol
Gastrointestinal Tract
Paclitaxel
Pancreatic Cyst*
Pancreatic Neoplasms
Therapeutic Irrigation
Ultrasonography
Ethanol
Paclitaxel
Full Text Links
  • CE
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
    DB Error: unknown error