Clinical Endoscopy

The Korean Society of Gastrointestinal Endoscopy (대한소화기내시경학회)
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Future Perspectives on Endoscopic Ultrasonography-Guided Therapy for Pancreatic Neoplasm

  • Paik, Woo Hyun (Department of Internal Medicine, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Lee, Sang Hyub (Department of Internal Medicine, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Jang, Sunguk (Department of Gastroenterology and Hepatology, Cleveland Clinic)
  • Received : 2018.04.09
  • Accepted : 2018.04.27
  • Published : 2018.05.30
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Abstract

Endoscopic ultrasonography (EUS)-guided therapy with ethanol injection or catheter-based radiofrequency ablation for pancreatic neoplasm has been conducted as a potential alternate treatment modality for patients who are not eligible for surgery. On the basis of the limited number of studies available, EUS-guided ablation therapy with the aforementioned methods for small pancreatic neoplasms has demonstrated promising technical feasibility and safety profiles. To be considered as a legitimate alternative option to surgery, however, EUS-guided ablation therapy must provide a long-term efficacy profile along with the consensus among experts regarding its treatment parameter. This review focuses on the clinical issues and future perspectives of EUS-guided therapy for pancreatic neoplasm.

Keywords

References

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  1. Endoscopic ultrasound-guided ablation of pancreatic cystic neoplasms: ready for prime time? vol.32, pp.1, 2018, https://doi.org/10.20524/aog.2018.0331