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Article: The role of endoscopic ultrasonography in the management of cystic lesions of the pancreas

TitleThe role of endoscopic ultrasonography in the management of cystic lesions of the pancreas
Authors
KeywordsEndosonography
Pancreatic neoplasms
Pancreatic pseudocyst
Issue Date2003
PublisherHong Kong Medical Association. The Journal's web site is located at http://www.hkmj.org/resources/supp.html
Citation
Hong Kong Medical Journal, 2003, v. 9 n. 6, p. 441-445 How to Cite?
AbstractObjective. To review the role of endoscopic ultrasonography in the management of cystic lesions of the pancreas. Data sources. MEDLINE literature search (1998-2003). Study selection. Key words for the literature search were 'endoscopic ultrasonography', 'pancreas', 'pseudocyst', and 'cystic tumor'. Data extraction. All relevant studies were reviewed. Data synthesis. In the management of cystic lesions of the pancreas, endoscopic ultrasonography appears to be superior to percutaneous ultrasonography, computed tomography, and endoscopic retrograde cholangiopancreatography, because it can achieve detailed imaging of both the pancreatic parenchymal tissue and the ductal anatomy simultaneously with a high-frequency ultrasound examination at a close proximity. Endoscopic ultrasonography can differentiate benign pseudocysts or benign cystic lesions from malignant neoplasms of the pancreas; the distinction is crucial in the surgical treatment of the patients. The diagnostic accuracy can be further enhanced with endoscopic ultrasonography-guided fine-needle aspiration of the cystic fluid to detect tumour markers and cytological examination. Endoscopic ultrasonography-guided aspiration with or without endoscopic cystogastrostomy or cystoduodenostomy has become the treatment of choice for patients with pancreatic pseudocysts. The procedure is associated with decreased morbidity and mortality when compared with open surgery. Conclusion. Endoscopic ultrasonography appears to be a useful tool in the management of cystic lesions of the pancreas.
Persistent Identifierhttp://hdl.handle.net/10722/45425
ISSN
2015 Impact Factor: 0.887
2015 SCImago Journal Rankings: 0.279
References

 

DC FieldValueLanguage
dc.contributor.authorChan, ACYen_HK
dc.contributor.authorLiu, CLen_HK
dc.date.accessioned2007-10-30T06:25:12Z-
dc.date.available2007-10-30T06:25:12Z-
dc.date.issued2003en_HK
dc.identifier.citationHong Kong Medical Journal, 2003, v. 9 n. 6, p. 441-445en_HK
dc.identifier.issn1024-2708en_HK
dc.identifier.urihttp://hdl.handle.net/10722/45425-
dc.description.abstractObjective. To review the role of endoscopic ultrasonography in the management of cystic lesions of the pancreas. Data sources. MEDLINE literature search (1998-2003). Study selection. Key words for the literature search were 'endoscopic ultrasonography', 'pancreas', 'pseudocyst', and 'cystic tumor'. Data extraction. All relevant studies were reviewed. Data synthesis. In the management of cystic lesions of the pancreas, endoscopic ultrasonography appears to be superior to percutaneous ultrasonography, computed tomography, and endoscopic retrograde cholangiopancreatography, because it can achieve detailed imaging of both the pancreatic parenchymal tissue and the ductal anatomy simultaneously with a high-frequency ultrasound examination at a close proximity. Endoscopic ultrasonography can differentiate benign pseudocysts or benign cystic lesions from malignant neoplasms of the pancreas; the distinction is crucial in the surgical treatment of the patients. The diagnostic accuracy can be further enhanced with endoscopic ultrasonography-guided fine-needle aspiration of the cystic fluid to detect tumour markers and cytological examination. Endoscopic ultrasonography-guided aspiration with or without endoscopic cystogastrostomy or cystoduodenostomy has become the treatment of choice for patients with pancreatic pseudocysts. The procedure is associated with decreased morbidity and mortality when compared with open surgery. Conclusion. Endoscopic ultrasonography appears to be a useful tool in the management of cystic lesions of the pancreas.en_HK
dc.format.extent745374 bytes-
dc.format.extent711321 bytes-
dc.format.mimetypeapplication/pdf-
dc.format.mimetypeapplication/pdf-
dc.languageengen_HK
dc.publisherHong Kong Medical Association. The Journal's web site is located at http://www.hkmj.org/resources/supp.htmlen_HK
dc.relation.ispartofHong Kong Medical Journalen_HK
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.subjectEndosonographyen_HK
dc.subjectPancreatic neoplasmsen_HK
dc.subjectPancreatic pseudocysten_HK
dc.titleThe role of endoscopic ultrasonography in the management of cystic lesions of the pancreasen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1024-2708&volume=9&issue=6&spage=441&epage=445&date=2003&atitle=The+role+of+endoscopic+ultrasonography+in+the+management+of+cystic+lesions+of+the+pancreasen_HK
dc.identifier.emailChan, ACY: acchan@hku.hken_HK
dc.identifier.authorityChan, ACY=rp00310en_HK
dc.description.naturepublished_or_final_versionen_HK
dc.identifier.scopuseid_2-s2.0-0347985060en_HK
dc.identifier.hkuros89270-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0347985060&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume9en_HK
dc.identifier.issue6en_HK
dc.identifier.spage441en_HK
dc.identifier.epage445en_HK
dc.publisher.placeHong Kongen_HK
dc.identifier.scopusauthoridChan, ACY=15828849100en_HK
dc.identifier.scopusauthoridLiu, CL=7409789712en_HK

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