Endoscopic Management of Pancreatic Cancer.

The role of endoscopy in the care of patients with pancreatic cancer continues to evolve. The early diagnosis of pancreatic cancer has been difficult. Endoscopic ultrasound examination should be used to examine pancreatic lesions because it can characterize lesions and sample tissue. Endoscopic retrograde cholangiopancreatography is essential in managing biliary obstructions. Endoscopic ultrasound can assist in gaining access to difficult biliary trees. Endoscopic placement of luminal stents can be used for palliative purposes. Postoperative issues such as strictures and anastomotic ulcers can generally be managed endoscopically. Injectable therapy and drug-eluting stent placements are potential areas for use in the future.