Abstract
The management of patients with pancreatic cancer begins with confirmation of the diagnosis by cytology, which is followed by accurate preoperative staging and biliary drainage. Endoscopic ultrasonography with fine-needle aspiration (EUS–FNA) followed by endoscopic retrograde cholangiopancreatography (ERCP) helps to achieve these goals and primes the patient for various treatment options. We discuss the findings of a study by Ross and colleagues that aimed to determine the feasibility and outcomes of combining EUS–FNA and therapeutic ERCP in a single session. The authors concluded that combined EUS–FNA and ERCP was technically feasible, and could safely and effectively achieve a diagnosis and biliary drainage. The adverse event rate was acceptable; pancreatitis was the most common complication. Such a one-step approach is, therefore, beneficial and calls for the founding of well-equipped units with adequately skilled endoscopy and support staff.
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References
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Peter, S., Eloubeidi, M. Feasibility of combined EUS–FNA and ERCP for obstructive jaundice from presumed pancreatic malignancy. Nat Rev Gastroenterol Hepatol 6, 132–133 (2009). https://doi.org/10.1038/ncpgasthep1365
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DOI: https://doi.org/10.1038/ncpgasthep1365