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2 "Pancreatitis, chronic"
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Review
Neoplasia in Chronic Pancreatitis: How to Maximize the Yield of Endoscopic Ultrasound-Guided Fine Needle Aspiration
Ji Young Bang, Shyam Varadarajulu
Clin Endosc 2014;47(5):420-424.   Published online September 30, 2014
DOI: https://doi.org/10.5946/ce.2014.47.5.420
AbstractAbstract PDFPubReaderePub

When performing endoscopic ultrasound-guided fine needle aspiration (EUS-FNA), identifying neoplasia in the setting of chronic pancreatitis can be technically challenging. The morphology of an ill-defined mass on sonography, presence of calcifications or intervening collaterals, reverberation from a biliary stent, low yield of tissue procurement, and interpretative errors in cytopathology can result in both false-negative and false-positive results. Although these challenges cannot be completely eliminated, elastography or contrast-enhanced imaging can aid in differentiating an inflammatory mass from a neoplasm. Also, performing more passes of FNA, procuring core biopsy material, performing rapid onsite evaluation, conducting ancillary pathology studies, and even repeating the procedure on a different day can aid in improving the diagnostic performance of EUS-FNA. This review provides a concise update and offers practical tips to improving the diagnostic yield of EUS-FNA when sampling solid pancreatic mass lesions in the setting of chronic pancreatitis.

Citations

Citations to this article as recorded by  
  • How to optimize the diagnostic yield of endoscopic ultrasound-guided fine-needle sampling in solid pancreatic lesions from a technical perspective
    Nam Hee Kim, Hong Joo Kim
    International Journal of Gastrointestinal Intervention.2023; 12(2): 57.     CrossRef
  • Endoscopic Ultrasound Guided Fine-Needle Aspiration for Solid Lesions in Chronic Pancreatitis: A Systematic Review and Meta-Analysis
    Mohamed A. Abdallah, Khalid Ahmed, Wesam Taha, Abdullahi Musa, Erin E. Reardon, Abubaker O. Abdalla, Guru Trikudanathan
    Digestive Diseases and Sciences.2022; 67(6): 2552.     CrossRef
  • Pancreatitis crónica para el clínico. Parte 1: etiología y diagnóstico. Documento de posicionamiento interdisciplinar de la Societat Catalana de Digestologia y la Societat Catalana de Pàncrees
    Xavier Molero, Juan Ramon Ayuso, Joaquim Balsells, Jaume Boadas, Juli Busquets, Anna Casteràs, Mar Concepción, Míriam Cuatrecasas, Gloria Fernàndez Esparrach, Esther Fort, Francisco Garcia Borobia, Àngels Ginès, Lucas Ilzarbe, Carme Loras, Miquel Masachs,
    Gastroenterología y Hepatología.2022; 45(3): 231.     CrossRef
  • Chronic pancreatitis for the clinician. Part 1: Etiology and diagnosis. Interdisciplinary position paper of the Societat Catalana de Digestologia and the Societat Catalana de Pàncrees
    Xavier Molero, Juan Ramon Ayuso, Joaquim Balsells, Jaume Boadas, Juli Busquets, Anna Casteràs, Mar Concepción, Míriam Cuatrecasas, Gloria Fernàndez Esparrach, Esther Fort, Francisco Garcia Borobia, Àngels Ginès, Lucas Ilzarbe, Carme Loras, Miquel Masachs,
    Gastroenterología y Hepatología (English Edition).2022; 45(3): 231.     CrossRef
  • Comparison of contrast-enhanced versus conventional EUS-guided FNA/fine-needle biopsy in diagnosis of solid pancreatic lesions: a randomized controlled trial
    In Rae Cho, Seok-Hoo Jeong, Huapyong Kang, Eui Joo Kim, Yeon Suk Kim, Jae Hee Cho
    Gastrointestinal Endoscopy.2021; 94(2): 303.     CrossRef
  • Pitfalls in the MDCT of pancreatic cancer: strategies for minimizing errors
    Arya Haj-Mirzaian, Satomi Kawamoto, Atif Zaheer, Ralph H. Hruban, Elliot K. Fishman, Linda C. Chu
    Abdominal Radiology.2020; 45(2): 457.     CrossRef
  • Factors affecting cytological results of endoscopic ultrasound guided-fine needle aspiration during learning
    Jian-Han Lai, Hsiang-Hung Lin, Ching-Chung Lin
    Diagnostic Pathology.2020;[Epub]     CrossRef
  • Resectable pancreatic solid lesions: Time to move from surgical diagnosis?
    Alberto Larghi, Mihai Rimbaş, Gianenrico Rizzatti, Giuseppe Quero, Antonio Gasbarrini, Guido Costamagna, Sergio Alfieri
    Endoscopic Ultrasound.2020; 9(2): 76.     CrossRef
  • Endoscopic ultrasound-guided sampling of solid pancreatic masses: the fine needle aspiration or fine needle biopsy dilemma. Is the best needle yet to come?
    Clara Benedetta Conti, Fabrizio Cereatti, Roberto Grassia
    World J Gastrointest Endosc.2019; 11(8): 454.     CrossRef
  • Endoscopic ultrasound-guided sampling of solid pancreatic masses: the fine needle aspiration or fine needle biopsy dilemma. Is the best needle yet to come?
    Clara Benedetta Conti, Fabrizio Cereatti, Roberto Grassia
    World Journal of Gastrointestinal Endoscopy.2019; 11(8): 454.     CrossRef
  • Predictors of Malignancies in Patients with Inconclusive or Negative Results of Endoscopic Ultrasound-guided Fine-needle Aspiration for Solid Pancreatic Masses
    Hyewon Jeong, Chan Sun Park, Ki Bae Kim, Joung-Ho Han, Soon Man Yoon, Hee Bok Chae, Sei Jin Youn, Seon Mee Park
    The Korean Journal of Gastroenterology.2018; 71(3): 153.     CrossRef
  • Endoscopic ultrasound elastography for solid pancreatic lesions
    Tanyaporn Chantarojanasiri, Pradermchai Kongkam
    World Journal of Gastrointestinal Endoscopy.2017; 9(10): 506.     CrossRef
  • Imaging Macrophage Accumulation in a Murine Model of Chronic Pancreatitis with 125I-Iodo-DPA-713 SPECT/CT
    Catherine A. Foss, Liansheng Liu, Ronnie C. Mease, Haofan Wang, Pankaj Pasricha, Martin G. Pomper
    Journal of Nuclear Medicine.2017; 58(10): 1685.     CrossRef
  • Endoscopic Ultrasound Elastography
    Utpal Mondal, Nichole Henkes, Sandeep Patel, Laura Rosenkranz
    Pancreas.2016; 45(7): 929.     CrossRef
  • International Digestive Endoscopy Network 2014: Turnpike to the Future
    Eun Young Kim, Kwang An Kwon, Il Ju Choi, Ji Kon Ryu, Ki Baik Hahm
    Clinical Endoscopy.2014; 47(5): 371.     CrossRef
  • 6,762 View
  • 78 Download
  • 18 Web of Science
  • 15 Crossref
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Focused Review Series: Endoscopic Intervention in Pancreatitis
Endoscopic Treatment of Pancreatic Calculi
Yong Hoon Kim, Sung Ill Jang, Kwangwon Rhee, Dong Ki Lee
Clin Endosc 2014;47(3):227-235.   Published online May 31, 2014
DOI: https://doi.org/10.5946/ce.2014.47.3.227
AbstractAbstract PDFPubReaderePub

Chronic pancreatitis is a progressive inflammatory disease that destroys pancreatic parenchyma and alters ductal stricture, leading to ductal destruction and abdominal pain. Pancreatic duct stones (PDSs) are a common complication of chronic pancreatitis that requires treatment to relieve abdominal pain and improve pancreas function. Endoscopic therapy, extracorporeal shock wave lithotripsy (ESWL), and surgery are treatment modalities of PDSs, although lingering controversies have hindered a consensus recommendation. Many comparative studies have reported that surgery is the superior treatment because of reduced duration and frequency of hospitalization, cost, pain relief, and reintervention, while endoscopic therapy is effective and less invasive but cannot be used in all patients. Surgery is the treatment of choice when endoscopic therapy has failed, malignancy is suspected, or duodenal stricture is present. However, in patients with the appropriate indications or at high-risk for surgery, endoscopic therapy in combination with ESWL can be considered a first-line treatment. We expect that the development of advanced endoscopic techniques and equipment will expand the role of endoscopic treatment in PDS removal.

Citations

Citations to this article as recorded by  
  • Pancreatic duct stones treated by Whipple as a last resort: A case report
    Usra I. Ghanem, Peter R. Bael, Izzeddin Bakri, Bashar Jaber, Omar Abu-Zaydeh, Khaled N. Al-Shawa
    International Journal of Surgery Case Reports.2024; 115: 109286.     CrossRef
  • Endoscopic Retrograde Cholangiopancreatography for Management of Chronic Pancreatitis
    Aliana Bofill-Garcia, Camille Lupianez-Merly
    Gastrointestinal Endoscopy Clinics of North America.2024; 34(3): 449.     CrossRef
  • Endoscopic ultrasound-guided pancreaticoduodenostomy using a lumen-apposing metal stent as a primary approach to treat difficult pancreatolithiasis: creating a side door to unlock the front door
    Michael Lajin, Cainan Foltz, Hong-Der Lin, Michael Romero, Kian Bagheri
    VideoGIE.2024;[Epub]     CrossRef
  • Management of Pancreatic Duct Stones
    Christian Gerges, Torsten Beyna, Horst Neuhaus
    Gastrointestinal Endoscopy Clinics of North America.2023; 33(4): 821.     CrossRef
  • Transpapillary Pancreatoscopy in an Emergency Hospital
    L. L. Generdukayev, Yu. S. Teterin, D. A. Blagovestnov, E. S. Yeletskaya, K. A. Nugumanova, P. A. Yartsev
    Russian Sklifosovsky Journal "Emergency Medical Care".2023; 12(2): 316.     CrossRef
  • Rectal indometacin to prevent pancreatitis after extracorporeal shock wave lithotripsy (RIPEP): a single-centre, double-blind, randomised, placebo-controlled trial
    Yang-Yang Qian, Nan Ru, Hui Chen, Wen-Bin Zou, Hao Wu, Jun Pan, Bo Li, Lei Xin, Ji-Yao Guo, Xin-Ying Tang, Liang-Hao Hu, Zhen-Dong Jin, Dong Wang, Yi-Qi Du, Luo-Wei Wang, Zhao-Shen Li, Zhuan Liao
    The Lancet Gastroenterology & Hepatology.2022; 7(3): 238.     CrossRef
  • ESWL pancreatitis: yet another post-procedural pancreatitis to worry about?
    Lars Aabakken, Vemund Paulsen
    The Lancet Gastroenterology & Hepatology.2022; 7(3): 199.     CrossRef
  • Per-oral pancreatoscopy with intraductal lithotripsy for difficult pancreatic duct stones: a systematic review and meta-analysis
    Thomas R. McCarty, Zain Sobani, Tarun Rustagi
    Endoscopy International Open.2020; 08(10): E1460.     CrossRef
  • Pancreatoscopy in endoscopic treatment of pancreatic duct stones: a systematic review
    Christian Gerges, David Pullmann, Markus Schneider, Peter Siersema, Erwin van Geenen, Horst Neuhaus, Torsten Beyna
    Minerva Chirurgica.2019;[Epub]     CrossRef
  • Management Algorithm of Pancreatic Calculi
    Dong Kee Jang, Jun Kyu Lee
    The Korean Journal of Pancreas and Biliary Tract.2019; 24(3): 89.     CrossRef
  • Basket impaction during the extraction of a pancreatic ductal stone
    Ankit Dalal, Gaurav K. Patil, Amit P. Maydeo, Arun Iyer, Nikhil Patil
    Indian Journal of Gastroenterology.2019; 38(6): 550.     CrossRef
  • Laparoscopic pancreatic duct incision and stone removal and T-type tube drainage for pancreatic duct stone: A case report and review of literature
    Yang Bai, Shi-An Yu, Li-Yuan Wang, Dao-Jun Gong
    World Journal of Clinical Cases.2018; 6(13): 679.     CrossRef
  • Endoscopic Therapies for Chronic Pancreatitis
    Jeffrey M. Adler, Timothy B. Gardner
    Digestive Diseases and Sciences.2017; 62(7): 1729.     CrossRef
  • Rectally administered indomethacin to prevent post-ESWL-pancreatitis (RIPEP): study protocol for a randomized controlled trial
    Yang-Yang Qian, Hui Chen, Xin-Ying Tang, Xi Jiang, Wei Qian, Wen-Bin Zou, Lei Xin, Bo Li, Yan-Fen Qi, Liang-Hao Hu, Duo-Wu Zou, Zhen-Dong Jin, Dong Wang, Yi-Qi Du, Luo-Wei Wang, Feng Liu, Zhao-Shen Li, Zhuan Liao
    Trials.2017;[Epub]     CrossRef
  • Recent Advances in Management of Chronic Pancreatitis
    Seon Mee Park
    The Korean Journal of Gastroenterology.2015; 66(3): 144.     CrossRef
  • 10,219 View
  • 127 Download
  • 10 Web of Science
  • 15 Crossref
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