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ORIGINAL ARTICLE
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An international, multi-institution survey of the use of EUS in the diagnosis of pancreatic cystic lesions


1 Endoscopy Center, Shengjing Hospital of China Medical University, Shenyang, Liaoning Province, China
2 Department of Gastroenterology, Harvard Medical School, Massachusetts General Hospital, Boston, Massachusetts, United States
3 Royal Prince Alfred Hospital, Camperdown, New South Wales, Australia
4 Center Hospitalier de l'Université de Montréal, Montreal, Canada
5 Division of Gastroenterology and Hepatology, Huntsman Cancer Center, University of Utah School of Medicine, Salt Lake City, Utah, USA
6 Endoscopic Unit, Institut Paoli-Calmettes, Marseille, France
7 Siriraj Hospital, Mahidol University, Bangkok, Thailand
8 Tel-Aviv Sourasky Medical Center, Tel Aviv, Israel
9 Department of Gastroenterology, Wake Forest School of Medicine, Winston-Salem, North Carolina, United States
10 Lyell McEwin Hospital, Elizabeth Vale, Adelaide, Australia
11 Department of Gastroenterology, Kitasato University East Hospital, Sagamihara, Japan
12 National Cancer Institute, Mexico City, Mexico
13 Department of Gastroenterology, Jaswant Rai Speciality Hospital, Meerut, Uttar Pradesh, India
14 Rawalpindi Medical College, Rawalpindi, Pakistan
15 Center for Gastroenterology, Teine-Kenjinkai Hospital, Sapporo, Japan
16 Division of Gastroenterology, Hepatology, and Endoscopy, Brigham and Women's Hospital, Boston, Massachusetts, United States
17 Department of Gastroenterology, All India Institute of Medical Sciences, New Delhi, India
18 American University of Beirut Medical Center, Beirut, Lebanon
19 National University of Singapore, Singapore
20 Digestive Associates of Houston, University of Texas, Houston, Texas, USA
21 Surgical Clinical Gastroenterolgy, University of Caldas, Manizales, Colombia
22 Anderson Cancer Center, University of Texas, Houston, Texas, USA
23 Digestive Endoscopy Unit, Humanitas Research Hospital, Milan, Italy
24 Department of Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
25 Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan
26 Trocadero Clinic, Paris, France
27 Medical Department, Caritas-Krankenhaus, Uhlandstr 7, D-97980 Bad Mergentheim, Germany
28 Department of Gastroenterology, Royal Adelaide Hospital, Adelaide, Australia
29 Department of Internal Medicine, Faculty of Medicine, Cairo University, Cairo, Egypt
30 Erasmus MC University Medical Center Rotterdam, Rotterdam, The Netherlands
31 Participants of the Nucleus of Endoscopy of the Brazilian Society of Digestive Endoscopy (SOBED), São Paulo, Brazil
32 Division of Endoscopy, Gastro Unit, Copenhagen University Hospital, University of Copenhagen, Copenhagen, Denmark
33 Clinica Reina Sofia, Bogota, Colombia
34 Department of Gastroenterology and Hepatology, University Hospital of Santiago de Compostela, Santiago de Compostela, Spain
35 Columbia University Medical Center, New York, USA
36 Departments of Medicine & Therapeutics and Surgery, The Chinese University of Hong Kong, Hong Kong, China
37 Departments of Gastroenterology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
38 Department of Medical and Surgical Sciences, Gastroenterology Unit, University of Bologna, Bologna, Italy
39 Department of Medical, Hospital Meiningen, Thuringia, Germany
40 Department of Gastroenterology and Endoscopy, S L Raheja Hospital, Mumbai, Maharashtra, India
41 Asian Institute of Gastroenterology, Hyderabad, Telangana, India
42 Rajavithi Hospital, Bangkok, Thailand
43 Bahrain Specialist Hospital, Manama, Kingdom of Bahrain
44 GastroUnit, Department of Surgery, Copenhagen University Hospital, Copenhagen, Denmark
45 Department of Internal Medicine and Gastroenterology, Cairo University, Cairo, Egypt
46 Fukushima Medical University Aizu Medical Center, Aizuwakamatsu, Japan
47 Prince Court Medical Center, Kuala Lumpur, Malaysia
48 Departments of Gastroenterology and Hepatology, Changi General Hospital, Singapore
49 Department of Surgery, Ana Costa Hospital, Sao Paulo, Brazil
50 Department of Gastroenterology, Research Center of Gastroenterology and Hepatology, University of Medicine and Pharmacy, Craiova, Romania
51 Digestive Endoscopy Unit, Catholic University, Rome, Italy
52 Head of the Endoscopy Division, Ecuadorian Institute of Digestive Disease, Guayaquil, Ecuador

Correspondence Address:
Siyu Sun,
Shengjing Hospital of China Medical University, No. 36, Sanhao Street, Shenyang, Liaoning Province 110004
China
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/eus.eus_61_19

PMID: 31552915

Background and Objectives: Currently, pancreatic cystic lesions (PCLs) are recognized with increasing frequency and have become a more common finding in clinical practice. EUS is challenging in the diagnosis of PCLs and evidence-based decisions are lacking in its application. This study aimed to develop strong recommendations for the use of EUS in the diagnosis of PCLs, based on the experience of experts in the field. Methods: A survey regarding the practice of EUS in the evaluation of PCLs was drafted by the committee member of the International Society of EUS Task Force (ISEUS-TF). It was disseminated to experts of EUS who were also members of the ISEUS-TF. In some cases, percentage agreement with some statements was calculated; in others, the options with the greatest numbers of responses were summarized. Results: Fifteen questions were extracted and disseminated among 60 experts for the survey. Fifty-three experts completed the survey within the specified time frame. The average volume of EUS cases at the experts' institutions is 988.5 cases per year. Conclusion: Despite the limitations of EUS alone in the morphologic diagnosis of PCLs, the results of the survey indicate that EUS-guided fine-needle aspiration is widely expected to become a more valuable method.


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