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Advanced endoscopic ultrasound management techniques for preneoplastic pancreatic cystic lesions

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dc.contributor.authorDUMAN, DENİZ
dc.contributor.authorsArshad, Hafiz Muhammad Sharjeel; Bharmal, Sheila; Duman, Deniz Guney; Liangpunsakul, Suthat; Turner, Brian G.
dc.date.accessioned2022-03-14T08:27:30Z
dc.date.available2022-03-14T08:27:30Z
dc.date.issued2017-01
dc.description.abstractPancreatic cystic lesions can be benign, premalignant or malignant. The recent increase in detection and tremendous clinical variability of pancreatic cysts has presented a significant therapeutic challenge to physicians. Mucinous cystic neoplasms are of particular interest given their known malignant potential. This review article provides a brief but comprehensive review of premalignant pancreatic cystic lesions with advanced endoscopic ultrasound (EUS) management approaches. A comprehensive literature search was performed using PubMed, Cochrane, OVID and EMBASE databases. Preneoplastic pancreatic cystic lesions include mucinous cystadenoma and intraductal papillary mucinous neoplasm. The 2012 International Sendai Guidelines guide physicians in their management of pancreatic cystic lesions. Some of the advanced EUS management techniques include ethanol ablation, chemotherapeutic (paclitaxel) ablation, radiofrequency ablation and cryotherapy. In future, EUS-guided injections of drug-eluting beads and neodymium:yttrium aluminum agent laser ablation is predicted to be an integral part of EUS-guided management techniques. In summary, International Sendai Consensus Guidelines should be used to make a decision regarding management of pancreatic cystic lesions. Advanced EUS techniques are proving extremely beneficial in management, especially in those patients who are at high surgical risk.
dc.identifier.doi10.1136/jim-2016-000167
dc.identifier.eissn1708-8267
dc.identifier.issn1081-5589
dc.identifier.pubmed27574295
dc.identifier.urihttps://hdl.handle.net/11424/241817
dc.identifier.wosWOS:000398792400002
dc.language.isoeng
dc.publisherBMJ PUBLISHING GROUP
dc.relation.ispartofJOURNAL OF INVESTIGATIVE MEDICINE
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectPancreatic Neoplasms
dc.subjectEndoscopy
dc.subjectPancreatic Carcinoma
dc.subjectPancreatic Diseases
dc.subjectGUIDED RADIOFREQUENCY ABLATION
dc.subjectPAPILLARY MUCINOUS NEOPLASMS
dc.subjectDIFFERENTIAL-DIAGNOSIS
dc.subjectSINGLE INSTITUTION
dc.subjectETHANOL-LAVAGE
dc.subjectULTRASONOGRAPHY
dc.subjectCANCER
dc.subjectTUMORS
dc.subjectTRIAL
dc.subjectSCLEROTHERAPY
dc.titleAdvanced endoscopic ultrasound management techniques for preneoplastic pancreatic cystic lesions
dc.typearticle
dspace.entity.typePublication
local.avesis.idcd8acd09-0e8d-4480-974c-bf4652e232f2
local.import.packageSS16
local.indexed.atWOS
local.indexed.atSCOPUS
local.indexed.atPUBMED
local.journal.numberofpages8
local.journal.quartileQ3
oaire.citation.endPage14
oaire.citation.issue1
oaire.citation.startPage7
oaire.citation.titleJOURNAL OF INVESTIGATIVE MEDICINE
oaire.citation.volume65
relation.isAuthorOfPublicationfbd7db24-b703-41cb-8619-c66129ba9556
relation.isAuthorOfPublication.latestForDiscoveryfbd7db24-b703-41cb-8619-c66129ba9556

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