The role of endoscopic ultrasound in the detection of pancreatic lesions in high-risk individuals
Cet article examine le rôle de l'écho-endoscopie dans les programmes de surveillance des patients présentant un risque élevé d'adénocarcinome canalaire du pancréas, décrit ses avantages et ses limites par rapport aux examens d'imagerie utilisant l'IRM puis présente des recommandations pour son intégration dans le suivi des patients
Individuals at high risk of developing pancreatic ductal adenocarcinoma are eligible for surveillance within research programs. These programs employ periodic imaging in the form of magnetic resonance imaging/magnetic resonance cholangiopancreatography or endoscopic ultrasound for the detection of early cancer or high-grade precursor lesions. This narrative review discusses the role of endoscopic ultrasound within these surveillance programs. It details its overall strengths and limitations, yield, burden on patients, and how it compares to magnetic resonance imaging. Finally, recommendations are given when and how to incorporate endoscopic ultrasound in the surveillance of high-risk individuals.
Familial Cancer , article en libre accès, 2024