The pancreas is a retroperitoneal organ, and the accuracy of traditional imaging in the diagnosis of pancreatic diseases is not high. When a malignant tumor is found, it is often in an advanced stage and the patient loses the opportunity for surgery. Endoscopic ultrasound guided fine needle biopsy has high diagnostic value for pancreatic diseases and is widely used in the diagnosis of pancreatic diseases. Some emerging ultrasound endoscopic imaging techniques, such as elastography and confocal laser endoscopy, have also become important diagnostic tools. Endoscopic drainage under ultrasound guidance is the preferred method for intrapancreatic drainage. Ultrasound-guided radiofrequency ablation, as a new therapeutic approach, is also beginning to play an important role in neoadjuvant and palliative care for pancreatic cancer. The development and popularization of endoscopic ultrasound will provide a new way for the diagnosis and treatment of solid pancreatic diseases.
References
[1]
Vilmann, P., Jacobsen, G.K., Henriksen, F.W. and Hancke, S. (1992) Endoscopic Ultrasonography with Guided Fine Needle Aspiration Biopsy in Pancreatic Disease. GastrointestinalEndoscopy, 38, 172-173. https://doi.org/10.1016/s0016-5107(92)70385-x
[2]
Guo, M. and Jiao, M. (2023) Value and Influencing Factors of Endoscope-Guided Fine Needle Puncture Combined with Tumor Markers in the Diagnosis of Pancreatic Space Occupation. JournalofGastroenterologyandHepatology, 32, 1385-1388.
[3]
Choi, S.J., Lee, J.M., Lee, K.W., Choi, H.S., Kim, E.S., Keum, B., et al. (2021) Effect of Histological Examination on the Diagnosis of Pancreatic Mass Using Endoscopic Ultrasound Fine-Needle Aspiration. AdvancesinClinicalandExperimentalMedicine, 30, 885-891. https://doi.org/10.17219/acem/136278
[4]
Sugiyama, T., Tajiri, T., Kurata, M., Hiraiwa, S., Fujita, H., Machida, T., et al. (2023) Sensitivity of Endoscopic Ultrasound‐Guided Fine‐Needle Aspiration Cytology and Biopsy for a Diagnosis of Pancreatic Ductal Adenocarcinoma: A Comparative Analysis. PathologyInternational, 73, 306-316. https://doi.org/10.1111/pin.13328
[5]
Milluzzo, S.M., Olivari, N., Rossi, G., Bianchi, D., Liserre, B., Graffeo, M., et al. (2023) Rapid On‐Site Evaluation Improves the Sensitivity of Endoscopic Ultrasound‐Guided Fine Needle Aspiration (EUS‐FNA) for Solid Pancreatic Lesions Irrespective of Technique: A Single‐Centre Experience. Cytopathology, 34, 318-324. https://doi.org/10.1111/cyt.13237
[6]
Wang, H., Li, N., Zhang, Y.X., etal. (2020) Diagnostic Value of Endoscopic Fine Needle Puncture in Pancreatic Cystic Neuroendocrine Tumors. ChineseJournalofPancreatic Diseases, 20, 386-388.
[7]
Yao, D., Qin, M., Jiang, H. and Qin, S. (2024) Comparison of EUS-FNA and EUS-FNB for Diagnosis of Solid Pancreatic Mass Lesions: A Meta-Analysis of Prospective Studies. ScandinavianJournalofGastroenterology, 59, 972-979. https://doi.org/10.1080/00365521.2024.2354908
[8]
Wong, T., Pattarapuntakul, T., Netinatsunton, N., Ovartlarnporn, B., Sottisuporn, J., Chamroonkul, N., etal. (2022) Diagnostic Performance of Endoscopic Ultrasound-Guided Tissue Acquisition by EUS-FNA versus EUS-FNB for Solid Pancreatic Mass without ROSE: A Retrospective Study. WorldJournalofSurgicalOncology, 20. https://doi.org/10.1186/s12957-022-02682-3
[9]
Ophir, J., Céspedes, I., Ponnekanti, H., Yazdi, Y. and Li, X. (1991) Elastography: A Quantitative Method for Imaging the Elasticity of Biological Tissues. UltrasonicImaging, 13, 111-134. https://doi.org/10.1177/016173469101300201
[10]
Zhang, B., Zhu, F., Li, P., Yu, S., Zhao, Y. and Li, M. (2018) Endoscopic Ultrasound Elastography in the Diagnosis of Pancreatic Masses: A Meta-Analysis. Pancreatology, 18, 833-840. https://doi.org/10.1016/j.pan.2018.07.008
[11]
Shin, C.M. and Villa, E. (2023) The Efficiency of Contrast-Enhanced Endoscopic Ultrasound (EUS) Combined with EUS Elastography for Pancreatic Cancer Diagnosis: A Systematic Review and Meta-Analysis. Ultrasonography, 42, 20-30. https://doi.org/10.14366/usg.22103
[12]
Li, J., Li, X., Zhang, H., etal. (2021) Comparative Analysis of Contrast-Enhanced Endoscopic Ultrasonography and Enhanced CT in the Diagnosis of Solid Pancreatic Space Occupation. JournalofClinicalHepatobiliary Diseases, 37, 1648-1651.
[13]
Facciorusso, A., Buccino, V.R. and Sacco, R. (2020) Needle-Based Confocal Laser Endomicroscopy in Pancreatic Cysts: A Meta-Analysis. EuropeanJournalofGastroenterology&Hepatology, 32, 1084-1090. https://doi.org/10.1097/meg.0000000000001728
[14]
Giovannini, M., Caillol, F., Monges, G., Poizat, F., Lemaistre, A., Pujol, B., et al. (2016) Endoscopic Ultrasound-Guided Needle-Based Confocal Laser Endomicroscopy in Solid Pancreatic Masses. Endoscopy, 48, 892-898. https://doi.org/10.1055/s-0042-112573
Li, C.X., Zhang, Y.Q., Zhao, J., etal. (2023) A Meta-Analysis of Endoscopic Ultrasound Guided Internal Drainage and Percutaneous Puncture Drainage in the Treatment of Pancreatic Pseudocyst. ChineseJournalofPancreatic Diseases, 23, 283-289.
[17]
Ge, N., Hu, J., Sun, S., Linghu, E., Jin, Z. and Li, Z. (2017) Endoscopic Ultrasound-Guided Pancreatic Pseudocyst Drainage with Lumen-Apposing Metal Stents or Plastic Double-Pigtail Stents: A Multifactorial Analysis. JournalofTranslationalInternalMedicine, 5, 213-219. https://doi.org/10.1515/jtim-2017-0036
[18]
Bang, J.Y., Hasan, M.K., Navaneethan, U., Sutton, B., Frandah, W., Siddique, S., et al. (2016) Lumen‐Apposing Metal Stents for Drainage of Pancreatic Fluid Collections: When and for Whom? DigestiveEndoscopy, 29, 83-90. https://doi.org/10.1111/den.12681
[19]
Chang, K.J., Nguyen, P.T., Thompson, J.A., Kurosaki, T.T., Casey, L.R., Leung, E.C., et al. (2000) Phase I Clinical Trial of Allogeneic Mixed Lymphocyte Culture (Cytoimplant) Delivered by Endoscopic Ultrasound? Guided Fine-Needle Injection in Patients with Advanced Pancreatic Carcinoma. Cancer, 88, 1325-1335. https://doi.org/10.1002/(sici)1097-0142(20000315)88:6<1325::aid-cncr8>3.0.co;2-t
[20]
Choi, J.H., Lee, S.H., Choi, Y.H., You, M.S., Shin, B., Paik, W.H., et al. (2019) Safety of Endoscopic Ultrasound-Guided Ethanol Ablation for Pancreatic Cystic Lesions: A Single-Center Experience of 214 Patients. Hepatobiliary&PancreaticDiseasesInternational, 18, 562-568. https://doi.org/10.1016/j.hbpd.2019.09.004
[21]
Izzo, F., Granata, V., Grassi, R., Fusco, R., Palaia, R., Delrio, P., et al. (2019) Radiofrequency Ablation and Microwave Ablation in Liver Tumors: An Update. TheOncologist, 24, e990-e1005. https://doi.org/10.1634/theoncologist.2018-0337
[22]
Widenmeyer, M., Shebzukhov, Y., Haen, S.P., Schmidt, D., Clasen, S., Boss, A., et al. (2010) Analysis of Tumor Antigen‐Specific T Cells and Antibodies in Cancer Patients Treated with Radiofrequency Ablation. InternationalJournalofCancer, 128, 2653-2662. https://doi.org/10.1002/ijc.25601
[23]
Dietrich, C., Testoni, S.G., Healey, A. and Arcidiacono, P. (2020) Systematic Review of Endoscopy Ultrasound-Guided Thermal Ablation Treatment for Pancreatic Cancer. EndoscopicUltrasound, 9, 83-100. https://doi.org/10.4103/eus.eus_74_19
[24]
Khoury, T., Sbeit, W., Fusaroli, P., Campana, D., Brighi, N., Napoleon, B., et al. (2023) Safety and Efficacy of Endoscopic Ultrasound‐Guided Radiofrequency Ablation for Pancreatic Neuroendocrine Neoplasms: Systematic Review and Meta‐Analysis. DigestiveEndoscopy, 36, 395-405. https://doi.org/10.1111/den.14681
[25]
Kongkam, P., Tiankanon, K., Seo, D.W., Luangsukrerk, T., Sriuranpong, V., Nantavithya, C., et al. (2023) EUS-Guided Radiofrequency Ablation plus Chemotherapy versus Chemotherapy Alone for Pancreatic Cancer (ERAP): An Observational Open-Label Pilot Study. EndoscopicUltrasound, 12, 402-408. https://doi.org/10.1097/eus.0000000000000003
[26]
Wang, A.Y. and Yachimski, P.S. (2018) Endoscopic Management of Pancreatobiliary Neoplasms. Gastroenterology, 154, 1947-1963. https://doi.org/10.1053/j.gastro.2017.11.295
[27]
Yusuf, T.E., Matthes, K. and Brugge, W.R. (2008) EUS-Guided Photodynamic Therapy with Verteporfin for Ablation of Normal Pancreatic Tissue: A Pilot Study in a Porcine Model (with Video). GastrointestinalEndoscopy, 67, 957-961. https://doi.org/10.1016/j.gie.2007.08.020
[28]
DeWitt, J.M., Sandrasegaran, K., O'Neil, B., House, M.G., Zyromski, N.J., Sehdev, A., et al. (2019) Phase 1 Study of EUS-Guided Photodynamic Therapy for Locally Advanced Pancreatic Cancer. GastrointestinalEndoscopy, 89, 390-398. https://doi.org/10.1016/j.gie.2018.09.007
[29]
Hanada, Y., Pereira, S.P., Pogue, B., Maytin, E.V., Hasan, T., Linn, B., et al. (2021) EUS-Guided Verteporfin Photodynamic Therapy for Pancreatic Cancer. GastrointestinalEndoscopy, 94, 179-186. https://doi.org/10.1016/j.gie.2021.02.027