Update on advanced endoscopic techniques for the pancreas: endoscopic retrograde cholangiopancreatography, drainage and biopsy, and endoscopic ultrasound.

Abstract

Both endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic ultrasound (EUS) play critical roles in the diagnosis and management of a wide variety of pancreatic disorders from pancreatitis to pancreatic cancer. ERCP has become primarily a therapeutic procedure for managing both acute and chronic pancreatitis and their complications, whereas EUS mainly provides diagnosis of chronic pancreatitis, pancreatic cysts, and pancreatic masses. EUS has begun to enter therapeutics with endoscopic cystgastrostomy, necrosectomy, celiac plexus neurolysis/block, and as an adjunct to ERCP to gain access to the pancreatic duct.

Links

Publisher Full Text

Authors

Lee LS, Conwell DL

Institution

Division of Gastroenterology, Hepatology, and Endoscopy, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115, USA. lslee@partners.org

Source

Radiologic clinics of North America 50:3 2012 May pg 547-61

MeSH

Biopsy
Cholangiopancreatography, Endoscopic Retrograde
Drainage
Endoscopy
Endosonography
Humans
Pancreas
Pancreatic Diseases
Pancreatic Neoplasms

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

22560697