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Endosc Ultrasound. 2019 Sep 25. doi: 10.4103/eus.eus_61_19. [Epub ahead of print]

An international, multi-institution survey of the use of EUS in the diagnosis of pancreatic cystic lesions.

Author information

1
Endoscopy Center, Shengjing Hospital of China Medical University, Shenyang, Liaoning Province, China.
2
Department of Gastroenterology, Harvard Medical School, Massachusetts General Hospital, Boston, Massachusetts, United States.
3
Royal Prince Alfred Hospital, Camperdown, New South Wales, Australia.
4
Center Hospitalier de l'Université de Montréal, Montreal, Canada.
5
Division of Gastroenterology and Hepatology, Huntsman Cancer Center, University of Utah School of Medicine, Salt Lake City, Utah, USA.
6
Endoscopic Unit, Institut Paoli-Calmettes, Marseille, France.
7
Siriraj Hospital, Mahidol University, Bangkok, Thailand.
8
Tel-Aviv Sourasky Medical Center, Tel Aviv, Israel.
9
Department of Gastroenterology, Wake Forest School of Medicine, Winston-Salem, North Carolina, United States.
10
Lyell McEwin Hospital, Elizabeth Vale, Adelaide, Australia.
11
Department of Gastroenterology, Kitasato University East Hospital, Sagamihara, Japan.
12
National Cancer Institute, Mexico City, Mexico.
13
Department of Gastroenterology, Jaswant Rai Speciality Hospital, Meerut, Uttar Pradesh, India.
14
Rawalpindi Medical College, Rawalpindi, Pakistan.
15
Center for Gastroenterology, Teine-Kenjinkai Hospital, Sapporo, Japan.
16
Division of Gastroenterology, Hepatology, and Endoscopy, Brigham and Women's Hospital, Boston, Massachusetts, United States.
17
Department of Gastroenterology, All India Institute of Medical Sciences, New Delhi, India.
18
American University of Beirut Medical Center, Beirut, Lebanon.
19
National University of Singapore, Singapore.
20
Digestive Associates of Houston, University of Texas, Houston, Texas, USA.
21
Surgical Clinical Gastroenterolgy, University of Caldas, Manizales, Colombia.
22
Anderson Cancer Center, University of Texas, Houston, Texas, USA.
23
Digestive Endoscopy Unit, Humanitas Research Hospital, Milan, Italy.
24
Department of Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
25
Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan.
26
Trocadero Clinic, Paris, France.
27
Medical Department, Caritas-Krankenhaus, Uhlandstr 7, D-97980 Bad Mergentheim, Germany.
28
Department of Gastroenterology, Royal Adelaide Hospital, Adelaide, Australia.
29
Department of Internal Medicine, Faculty of Medicine, Cairo University, Cairo, Egypt.
30
Erasmus MC University Medical Center Rotterdam, Rotterdam, The Netherlands.
31
Participants of the Nucleus of Endoscopy of the Brazilian Society of Digestive Endoscopy (SOBED), São Paulo, Brazil.
32
Division of Endoscopy, Gastro Unit, Copenhagen University Hospital, University of Copenhagen, Copenhagen, Denmark.
33
Clinica Reina Sofia, Bogota, Colombia.
34
Department of Gastroenterology and Hepatology, University Hospital of Santiago de Compostela, Santiago de Compostela, Spain.
35
Columbia University Medical Center, New York, USA.
36
Departments of Medicine & Therapeutics and Surgery, The Chinese University of Hong Kong, Hong Kong, China.
37
Departments of Gastroenterology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
38
Department of Medical and Surgical Sciences, Gastroenterology Unit, University of Bologna, Bologna, Italy.
39
Department of Medical, Hospital Meiningen, Thuringia, Germany.
40
Department of Gastroenterology and Endoscopy, S L Raheja Hospital, Mumbai, Maharashtra, India.
41
Asian Institute of Gastroenterology, Hyderabad, Telangana, India.
42
Rajavithi Hospital, Bangkok, Thailand.
43
Bahrain Specialist Hospital, Manama, Kingdom of Bahrain.
44
GastroUnit, Department of Surgery, Copenhagen University Hospital, Copenhagen, Denmark.
45
Department of Internal Medicine and Gastroenterology, Cairo University, Cairo, Egypt.
46
Fukushima Medical University Aizu Medical Center, Aizuwakamatsu, Japan.
47
Prince Court Medical Center, Kuala Lumpur, Malaysia.
48
Departments of Gastroenterology and Hepatology, Changi General Hospital, Singapore.
49
Department of Surgery, Ana Costa Hospital, Sao Paulo, Brazil.
50
Department of Gastroenterology, Research Center of Gastroenterology and Hepatology, University of Medicine and Pharmacy, Craiova, Romania.
51
Digestive Endoscopy Unit, Catholic University, Rome, Italy.
52
Head of the Endoscopy Division, Ecuadorian Institute of Digestive Disease, Guayaquil, Ecuador.

Abstract

Background and Objectives:

Currently, pancreatic cystic lesions (PCLs) are recognized with increasing frequency and have become a more common finding in clinical practice. EUS is challenging in the diagnosis of PCLs and evidence-based decisions are lacking in its application. This study aimed to develop strong recommendations for the use of EUS in the diagnosis of PCLs, based on the experience of experts in the field.

Methods:

A survey regarding the practice of EUS in the evaluation of PCLs was drafted by the committee member of the International Society of EUS Task Force (ISEUS-TF). It was disseminated to experts of EUS who were also members of the ISEUS-TF. In some cases, percentage agreement with some statements was calculated; in others, the options with the greatest numbers of responses were summarized.

Results:

Fifteen questions were extracted and disseminated among 60 experts for the survey. Fifty-three experts completed the survey within the specified time frame. The average volume of EUS cases at the experts' institutions is 988.5 cases per year.

Conclusion:

Despite the limitations of EUS alone in the morphologic diagnosis of PCLs, the results of the survey indicate that EUS-guided fine-needle aspiration is widely expected to become a more valuable method.

KEYWORDS:

EUS; pancreatic cystic lesion; survey

PMID:
31552915
DOI:
10.4103/eus.eus_61_19
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