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. 2017 Jan;8(1):26-28.
doi: 10.1136/flgastro-2016-100716. Epub 2016 Aug 9.

A regional EUS service using a collaborative network

H M Gordon  1 , D A J Lloyd  1 , A Higginson  2 , R McCrudden  3 , C Bent  3 , F W Shek  4 , R Beable  2 , A Al-Badri  1 , B Green  4 , E Jaynes  4 , B Foria  3 , B S F Stacey  4
Affiliations

A regional EUS service using a collaborative network

H M Gordon et al. Frontline Gastroenterol. 2017 Jan.

Abstract

Endoscopic ultrasound (EUS) is increasingly used in the management of hepatobiliary lesions, allowing staging and tissue acquisition. It is operator-dependent, and fine needle aspiration (FNA) of solid lesions provides an auditable standard; high-volume centres have shown excellent results for solid pancreatic lesion FNA with sensitivities of 92%-97%. The British Society of Gastroenterology guidelines stress that clinical quality should determine service provision, with geographical accessibility a secondary consideration. We set up the Wessex EUS network, working from a single hepatobiliary (HPB) pancreatic multidisciplinary team, with EUS provided in four local centres providing agreed standards and audit. Pancreatic solid lesion FNA results showed a pooled sensitivity of 94%, comparable with high-volume single centres. This demonstrates a network with good clinical governance is a plausible solution to providing a specialist service such as EUS and may be a roadmap that other specialist services under pressure could follow.

Keywords: ENDOSCOPIC ULTRASONOGRAPHY; PANCREATIC TUMOURS.

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Conflict of interest statement

Competing interests: None declared.

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