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KMID : 0359020130460020172
Korean Journal of Gastrointestinal Endoscopy
2013 Volume.46 No. 2 p.172 ~ p.177
Endoscopic Ultrasound Elastography for the Pancreas in Korea: A Preliminary Single Center Study
Lee Tae-Hee

Cho Young-Deok
Jang Jae-Young
Jeong Soung-Won
Cha Sang-Woo
Cho Joo-Young
Choi Hyun-Jong
Moon Jong-Ho
Abstract
Background/Aims: Endoscopic ultrasound elastography (EUS-EG) has been widely used for the evaluation of pancreatic cancer in the Western world. To date, there is very little experience with EUS-EG in Korea. We described the results of comparison between normal pancreas and pancreatic cancer in Korea.

Methods: The present study was performed at a tertiary hospital on 35 subjects comprising 20 with normal pancreas (control group) and 15 with pancreatic cancer (disease group). We compared the EUS-EG performance of the two groups.

Results: The pancreas in the control group showed a mean elasticity value of 0.53% (95% confidence interval [CI], 0.45 to 0.61). The elasticity value was higher than that previously reported from Western country (0.47%; 95% CI, 0.38 to 0.57). In the disease group, the mean elasticity value of pancreatic lesions was 0.02% (95% CI, 0.01 to 0.02). The mean elasticity value of the disease group was significantly lower than that of the control group (p<0.0001).

Conclusions: EUS-EG could be a highly sensitive diagnostic modality for pancreatic cancer in Korea with little EUS-EG experience. We also provided the reference range of elasticity value of normal pancreas, which might be valuable in the interpretation of pancreatic elasticity data for Korean adults.
KEYWORD
Elasticity imaging techniques, Endosonography, Pancreas
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