Endoscopic retrograde cholangiopancreatography guided interventions in the management of pancreatic cancer.

Autor:	Yousaf MN; Department of Medicine, Medstar Union Memorial Hospital, Baltimore, MD 21218, United States., Ehsan H; Department of Medicine, Medstar Union Memorial Hospital, Baltimore, MD 21218, United States., Wahab A; Department of Hospital Medicine, Baptist Medical Center South, Montgomery, AL 36116, United States., Muneeb A; Department of Medicine, Faisalabad Medical University, Faisalabald 38000, Punjab, Pakistan., Chaudhary FS; Department of Medicine, Medstar Union Memorial Hospital, Baltimore, MD 21218, United States., Williams R; Department of Medicine, Medstar Union Memorial Hospital, Baltimore, MD 21218, United States., Haas CJ; Department of Medicine, Medstar Union Memorial Hospital, Baltimore, MD 21218, United States.
Jazyk:	angličtina
Zdroj:	World journal of gastrointestinal endoscopy [World J Gastrointest Endosc] 2020 Oct 16; Vol. 12 (10), pp. 323-340.
DOI:	10.4253/wjge.v12.i10.323
Abstrakt:	Pancreatic cancer is the leading cause of cancer-related morbidity and mortality with an overall five-year survival of less than 9% in the United States. At presentation, the majority of patients have painless jaundice, pruritis, and malaise, a triad that develops secondary to obstruction, which often occurs late in the course of the disease process. The technical advancements in radiological imaging and endoscopic interventions have played a crucial role in the diagnosis, staging, and management of patients with pancreatic cancer. Endoscopic retrograde cholangiopancreatography (ERCP)-guided diagnosis (with brush cytology, serial pancreatic juice aspiration cytologic examination technique, or biliary biopsy) and therapeutic interventions such as pancreatobiliary decompression, intraductal and relief of gastric outlet obstruction play a pivotal role in the management of advanced pancreatic cancer and are increasingly used due to improved morbidity and complication rates compared to surgical management. In this review, we highlight various ERCP-guided diagnostic and therapeutic interventions for the management of pancreatic cancer. (©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.)
Databáze:	MEDLINE
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