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

Nan Ge, William Brugge, Payal Saxena, Anand Sahai, Douglas Adler, Marc Giovannini, Nonthalee Pausawasdi, Erwin Santo, Girish Mishra, William Tam, Mitsuhiro Kida, Jose De La Mora-Levy, Malay Sharma, Muhammad Umar, Akio Katanuma, Linda Lee, Pramod Garg, Mohamad Eloubeidi, Ho Yu, Isaac RaijmanBrenda Arturo Arias, Manoop Bhutani, Silvia Carrara, Praveer Rai, Shuntaro Mukai, Laurent Palazzo, Christoph Dietrich, Nam Nguyen, Mohamed El-Nady, Jan Poley, Simone Guaraldi, Evangelos Kalaitzakis, Luis Sabbagh, Jose Lariño-Noia, Frank Gress, Yuk Tong Lee, Surinder Rana, Pietro Fusaroli, Michael Hocke, Vinay Dhir, Sundeep Lakhtakia, Thawee Ratanachu-Ek, A. Chalapathi Rao, Peter Vilmann, Hussein Okasha, Atsushi Irisawa, Ryan Ponnudurai, Ang Leong, Everson Artifon, Julio Iglesias-Garcia, Adrian Saftoiu, Alberto Larghi, Carlos Robles-Medranda, Siyu Sun

Research output: Contribution to journalArticlepeer-review

8 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)418-427
Number of pages10
JournalEndoscopic Ultrasound
Volume8
Issue number6
DOIs
StatePublished - Nov 1 2019

Keywords

  • EUS
  • pancreatic cystic lesion
  • survey

ASJC Scopus subject areas

  • Hepatology
  • Radiology Nuclear Medicine and imaging
  • Gastroenterology

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