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Endoscopic ultrasound evaluation is associated with improved outcomes in pancreatic cancer patients
Date:7/8/2010

OAK BROOK, Ill. July 8, 2010 A new study has found that endoscopic ultrasound (EUS) is associated with improved outcomes in patients with localized pancreatic cancer, possibly due to the detection of earlier cancers and improved stage-appropriate management, including more selective performance of curative intent surgery. This is the first study to analyze a large population-based cancer registry and demonstrate that EUS evaluation is associated with improved pancreatic cancer survival. The study appears in the July issue of GIE: Gastrointestinal Endoscopy, the monthly peer-reviewed scientific journal of the American Society for Gastrointestinal Endoscopy (ASGE).

Pancreatic cancer is common and highly lethal. The only chance of long-term survival in pancreatic cancer is if complete resection (surgical removal) can be performed. The symptoms of pancreatic cancer are non-specific and usually occur late in the course of the disease; less than 20 percent of patients have resectable disease at the time of diagnosis. Endoscopic ultrasound is considered to be one of the most accurate tests for detecting pancreatic masses and for the staging of pancreatic cancer. EUS has proven to have the highest sensitivity in detecting pancreatic tumors, especially when the results of other cross-sectional imaging modalities are inconclusive. It is equivalent and complementary to CT for staging pancreatic cancer and predicting vascular invasion and local resectability.

Endoscopic ultrasound consists of a flexible endoscope which has a small ultrasound device built into the end. The ultrasound component produces sound waves that create visual images of the digestive tract which extend beyond the inner surface lining. EUS can be used to evaluate an abnormality below the surface such as a growth that was detected at a prior endoscopy or by X-ray. EUS is also used to diagnose diseases of the pancreas, bile duct, and gallbladder when other tests are inconclusi
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Contact: Anne Brownsey
abrownsey@asge.org
630-570-5635
American Society for Gastrointestinal Endoscopy
Source:Eurekalert

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