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Endoscopic Diagnosis and Staging: Endoscopic Ultrasound, Endoscopic Retrograde Cholangiopancreatography

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Pancreatic Cancer

Part of the book series: M. D. Anderson Solid Tumor Oncology Series ((MDA))

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Conclusion

Although it is an endoscopic procedure, highquality EUS with EUS-guided FNA capabilities can play a central early role in the diagnosis, cytologic assessment, staging, and even therapy of the patient with pancreatic cancer. The primary limiting factor in EUS assuming this preeminent position at most institutions has been the lack of welltrained endosonographers. This need is being aggressively addressed by the various gastroenterologic professional societies and gastroenterology training programs. With EUS, spiral CT, and MRI available, diagnostic ERCP has little role in the initial evaluation of patients with suspected pancreatic cancer unless they are presenting with obstructive jaundice. Even in this clinical setting, EUS and EUS-guided FNA may be the preferable first endoscopic procedure, with ERCP reserved for those patients definitely needing endoscopic stenting.

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Authors
  1. Richard A. Erickson
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Editors and Affiliations

  1. Department of Surgical Oncology, The University of Texas M.D. Anderson Cancer Center, Houston, TX, 77030, USA

    Douglas B. Evans M.D. (Professor of Surgery) & Peter W. T. Pisters M.D., F.A.C.S. (Associate Professor of Surgery) (Professor of Surgery) &  (Associate Professor of Surgery)

  2. Department of Gastrointestinal Medical Oncology, The University Texas M.D. Anderson Cancer Center, Houston, TX, 77030, USA

    James L. Abbruzzese M.D. (Professor of Medical Oncology, Chairman) (Professor of Medical Oncology, Chairman)

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Erickson, R.A. (2002). Endoscopic Diagnosis and Staging: Endoscopic Ultrasound, Endoscopic Retrograde Cholangiopancreatography. In: Evans, D.B., Pisters, P.W.T., Abbruzzese, J.L. (eds) Pancreatic Cancer. M. D. Anderson Solid Tumor Oncology Series. Springer, New York, NY. https://doi.org/10.1007/0-387-21600-6_8

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  • DOI: https://doi.org/10.1007/0-387-21600-6_8

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