Endoscopic Ultrasound-Guided Treatment of Pancreatic Cystic and Solid Masses

被引:12
|
作者
Kim, Jaihwan [1 ]
机构
[1] Seoul Natl Univ, Coll Med, Dept Internal Med, Bundang Hosp, 82 Gumi Ro 173beon Gil, Seongnam 463707, South Korea
关键词
Endosonography; Pancreatic cyst; Pancreatic neoplasms; Ablation;
D O I
10.5946/ce.2015.48.4.308
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
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.
引用
收藏
页码:308 / 311
页数:4
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