Contrast Enhanced Endoscopic Ultrasound in Pancreas Lesions

Conditions:   Pancreatitis;   Pancreas Cancer;   Pancreas Cyst Intervention:   Drug: EUS enhanced with contrast to evaluate pancreas Sponsor:   Cedars-Sinai Medical Center Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials

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Conditions:   Pancreatitis;   Pancreas Cancer;   Pancreas Cyst Intervention:   Drug: EUS enhanced with contrast to evaluate pancreas Sponsor:   Cedars-Sinai Medical Center Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
AbstractThe immunotherapy revolution in cancer treatment involves a variety of specialists, not only oncologists, but also internal medicine physicians, endocrinologists, dermatologists, gastroenterologists, rheumatologists, and radiologists, introducing new scenarios and novel challenges in the diagnosis and management of a number of novel immune-related adverse events. Among these, immune checkpoint inhibitor-induced pancreatic injury has been described (occurring in up to 4% of patients) and has been reported to be responsible for visits to the emergency departments in up to 1.9% of patients treated with immune checkpoi...
Source: Targeted Oncology - Category: Cancer & Oncology Source Type: research
CONCLUSIONS: These findings support further development of HMI for clinical applications in disease staging and treatment response assessment in pancreatic ductal adenocarcinoma. PMID: 31831559 [PubMed - as supplied by publisher]
Source: Clinical Cancer Research - Category: Cancer & Oncology Authors: Tags: Clin Cancer Res Source Type: research
Authors: Liu L, Huang X, Li X, Ma L, Zhao X, Yang X Abstract PURPOSE: To investigate the diagnostic value of ultrasound combined with computed tomography (CT) in pancreatic cancer. METHODS: 312 patients with pancreatic lesions treated in the Affiliated Hospital of Qingdao University were retrospectively analyzed, including 217 patients definitely diagnosed with pancreatic cancer and 95 patients diagnosed with pancreatitis. A hundred and one patients with ultrasonic diagnosis were enrolled into the ultrasound group, 98 patients with CT diagnosis were enrolled into CT group, and 113 patients undergoing ultrasound...
Source: Journal of B.U.ON. - Category: Cancer & Oncology Tags: J BUON Source Type: research
ier L Abstract Managing familial pancreatic cancer (FPC) is challenging for gastroenterologists, surgeons and oncologists. High-risk individuals (HRI) for pancreatic cancer (PC) (FPC or with germline mutations) are a heterogeneous group of subjects with a theoretical lifetime cumulative risk of PC over 5%. Screening is mainly based on annual magnetic resonance imaging (MRI) and endoscopic ultrasound (EUS). The goal of screening is to identify early-stage operable cancers or high-risk precancerous lesions (pancreatic intraepithelial neoplasia or intraductal papillary mucinous neoplasms with high-grade dysplasia). I...
Source: World Journal of Gastroenterology : WJG - Category: Gastroenterology Authors: Tags: World J Gastroenterol Source Type: research
Conclusions This pilot study demonstrated that fiducial marker placement and pancreatic EUS-FNI of MPs was successful in all pigs with no animals demonstrating pancreatitis. Further studies are needed to determine the role for intralesional injection of drug-loaded MPs in borderline resectable or unresectable pancreatic cancer. [...] © Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text
Source: Endoscopy International Open - Category: Gastroenterology Authors: Tags: Innovation forum Source Type: research
ConclusionRFA is a major, but safe procedure for patients with LAPC if performed with strict predefined safety criteria. A RCT is currently investigating the true effectiveness of RFA in patients with LAPC.
Source: European Journal of Surgical Oncology (EJSO) - Category: Surgery Source Type: research
This report emphasizes the significance of pathological confirmation before starting treatment, even in cases with diffuse pancreatic enlargement. PMID: 31178502 [PubMed - as supplied by publisher]
Source: Internal Medicine - Category: Internal Medicine Tags: Intern Med Source Type: research
Chronic pancreatitis increases the risk of developing pancreatic cancer. This often presents as a mass lesion, especially in the head of pancreas. However, the mass lesion in the patients of chronic pancreatitis(CP) can also occur secondary to an inflammatory process, as a consequence of CP. These lesions are often identified by conventional computed tomography(CT) abdomen findings. Advanced approach with endoscopic ultrasound(EUS) with techniques like fine needle aspiration(FNA) could be helpful for differential diagnosis in the past when elastography and contrast-enhanced endoscopuc ultrasound (CE-EUS) were not available.
Source: Gastrointestinal Endoscopy - Category: Gastroenterology Authors: Tags: Tuesday abstract Source Type: research
CONCLUSIONS: EUS-guided fiducial placement is a safe and technically feasible procedure in centers with endosonographers that are well trained in EUS with FNA. PMID: 31081670 [PubMed - as supplied by publisher]
Source: Revista Espanola de Enfermedades Digestivas - Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research
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