Management of Pancreatico-Biliary Disease: Endoscopic Ultrasound (EUS)

Biliary stone disease, pancreaticobiliary inflammation, pancreaticobiliary neoplasia, and incidental radiographic findings are among the most common indications for performing EUS. EUS routinely is used to investigate laboratory abnormalities and lesions identified on cross-sectional imaging and provides both additional diagnostic and therapeutic value, sparing some patients operative intervention. Clinical presentation, physical findings, biochemical analyses, TUS, CT, MRI, and ERCP all play important roles in the diagnosis and treatment of CBDS and other pancreaticobiliary disorders. None, however, is as effective as EUS for diagnosis of the various benign and malignant conditions impacting the biliary tree and pancreas.