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Article: The role of endoscopic ultrasonography in the management of cystic lesions of the pancreas
Title | The role of endoscopic ultrasonography in the management of cystic lesions of the pancreas |
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Authors | |
Keywords | Endosonography Pancreatic neoplasms Pancreatic pseudocyst |
Issue Date | 2003 |
Publisher | Hong 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? |
Abstract | Objective. 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 Identifier | http://hdl.handle.net/10722/45425 |
ISSN | 2023 Impact Factor: 3.1 2023 SCImago Journal Rankings: 0.261 |
References |
DC Field | Value | Language |
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dc.contributor.author | Chan, ACY | en_HK |
dc.contributor.author | Liu, CL | en_HK |
dc.date.accessioned | 2007-10-30T06:25:12Z | - |
dc.date.available | 2007-10-30T06:25:12Z | - |
dc.date.issued | 2003 | en_HK |
dc.identifier.citation | Hong Kong Medical Journal, 2003, v. 9 n. 6, p. 441-445 | en_HK |
dc.identifier.issn | 1024-2708 | en_HK |
dc.identifier.uri | http://hdl.handle.net/10722/45425 | - |
dc.description.abstract | Objective. 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.extent | 745374 bytes | - |
dc.format.extent | 711321 bytes | - |
dc.format.mimetype | application/pdf | - |
dc.format.mimetype | application/pdf | - |
dc.language | eng | en_HK |
dc.publisher | Hong Kong Medical Association. The Journal's web site is located at http://www.hkmj.org/resources/supp.html | en_HK |
dc.relation.ispartof | Hong Kong Medical Journal | en_HK |
dc.rights | This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. | - |
dc.subject | Endosonography | en_HK |
dc.subject | Pancreatic neoplasms | en_HK |
dc.subject | Pancreatic pseudocyst | en_HK |
dc.title | The role of endoscopic ultrasonography in the management of cystic lesions of the pancreas | en_HK |
dc.type | Article | en_HK |
dc.identifier.openurl | http://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+pancreas | en_HK |
dc.identifier.email | Chan, ACY: acchan@hku.hk | en_HK |
dc.identifier.authority | Chan, ACY=rp00310 | en_HK |
dc.description.nature | published_or_final_version | en_HK |
dc.identifier.scopus | eid_2-s2.0-0347985060 | en_HK |
dc.identifier.hkuros | 89270 | - |
dc.relation.references | http://www.scopus.com/mlt/select.url?eid=2-s2.0-0347985060&selection=ref&src=s&origin=recordpage | en_HK |
dc.identifier.volume | 9 | en_HK |
dc.identifier.issue | 6 | en_HK |
dc.identifier.spage | 441 | en_HK |
dc.identifier.epage | 445 | en_HK |
dc.publisher.place | Hong Kong | en_HK |
dc.identifier.scopusauthorid | Chan, ACY=15828849100 | en_HK |
dc.identifier.scopusauthorid | Liu, CL=7409789712 | en_HK |
dc.identifier.issnl | 1024-2708 | - |