Clinical Endoscopy (May 2018)

Future Perspectives on Endoscopic Ultrasonography-Guided Therapy for Pancreatic Neoplasm

  • Woo Hyun Paik,
  • Sang Hyub Lee,
  • Sunguk Jang

DOI
https://doi.org/10.5946/ce.2018.063
Journal volume & issue
Vol. 51, no. 3
pp. 229 – 234

Abstract

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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.

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