Optimization of Pancreatic Juice Collection: A First Step Toward Biomarker Discovery and Early Detection of Pancreatic Cancer

Autor: Maikel P. Peppelenbosch, Iris J. Levink, Maurice P.H.M. Jansen, Jan-Werner Poley, Lydi M.J.W. van Driel, Celio J C Fernandes, Marco J. Bruno, Anieta M. Sieuwerts, Kateryna Nesteruk, Gwenny M. Fuhler, Dido I Visser, Djuna L. Cahen
Přispěvatelé: Gastroenterology & Hepatology, Medical Oncology
Rok vydání: 2020
Předmět:
Zdroj: The American journal of gastroenterology, 115(12), 2103-2108
ISSN: 1572-0241
Popis: Introduction Imaging-based surveillance programs fail to detect pancreatic ductal adenocarcinoma at a curable stage, creating an urgent need for diagnostic biomarkers. Methods Secretin-stimulated pancreatic juice (PJ) was collected from the duodenal lumen during endoscopic ultrasound. The yield of biomarkers and organoids was compared for 2 collection techniques (endoscope suction channel vs catheter-based) and 3 periods (0-4 vs 4-8 vs 8-15 minutes). Results Collection through the endoscope suction channel was superior to collection with a catheter. Collection beyond 8 minutes reduced biomarker yield. PJ-derived organoid culture was feasible. Discussion The optimal protocol for secretin-stimulated PJ collection is through the endoscope suction channel for 8 minutes allowing biomarker detection and organoid culture.
Databáze: OpenAIRE