Pancreatic Cancer | November 2021-Role of EUS for Chronic Pancreatitis

Video Transcription

Video Summary

In this video, Professor Michelle Anderson, an Associate Professor of Medicine in Gastroenterology and Clinical Chief of Endoscopy at Michigan Medicine, discusses the use of endoscopic ultrasound (EUS) for the diagnosis of chronic pancreatitis and celiac plexus block. She begins by explaining that both EUS and MRI are adequate for diagnosing chronic pancreatitis, but EUS may be better for detecting early or minimal change chronic pancreatitis. She provides an overview of the criteria used to diagnose chronic pancreatitis using EUS, known as the Rosemont criteria. She then discusses various cases to illustrate the differences between normal, early chronic pancreatitis, and advanced chronic pancreatitis on EUS. <br /><br />Next, she compares the diagnostic performance of EUS and MRI for chronic pancreatitis and cites a study showing that EUS is more sensitive but equally specific as MRI. She recommends using CT as the first-line test for patients with suspected chronic pancreatitis and reserving EUS or MRI for cases with equivocal or high suspicion. <br /><br />Lastly, she briefly discusses the use of EUS for celiac plexus block in chronic pancreatitis, including indications, outcomes, and technique. She mentions that the evidence for its benefit in chronic pancreatitis is weak and that complications can occur. She concludes by emphasizing the importance of a multi-modal approach to diagnosing and managing chronic pancreatitis based on patient presentation, risk factors, and local expertise.

Asset Subtitle

Michelle A. Anderson, MD, MSc, FASGE

Meta Tag

Disease Pancreatitis

Organ & Anatomy Pancreas

Keywords

endoscopic ultrasound

chronic pancreatitis

diagnosis

Rosemont criteria

MRI