Quick Hits

Much progress has been made since the first studies of pancreatic screening were published almost 20 years ago. We have a better understanding of the risk factors that define high-risk individuals, and we have begun to understand the benefits and risks of pancreatic screening using endoscopic ultrasound (EUS) and other imaging tests. However, we have […]

Quick Hits

Chronic pancreatitis has a wide spectrum of symptoms and severity, making it difficult to diagnose. While the advent of numerous radiographic, endoscopic and functional testing has certainly advanced our ability to reliably diagnose chronic pancreatitis, it can, at times, complicate diagnosis in an age of unclear interpretation of results. Given that this condition is not […]

Debates

In the absence of robust prospective data, the conversation about pancreatic cysts has mostly been driven by low-quality evidence, expert consensus and opinion. Hence, when debating an issue such as the role of endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) in pancreatic cysts greater than 3 cm, one can, within reason, construct an argument to support either […]

Quick Hits

When evaluating a patient with suspected choledocholithiasis, the fundamental question is whether or not to recommend an endoscopic retrograde cholangiopancreatographyEUS (ERCP). Given its risks, and with the more widespread availability of endoscopic ultrasound (EUS) and magnetic resonance cholangiopancreatography (MRCP), ERCP has become (or at least should be) a nearly exclusively therapeutic tool. In order to […]