Endoscopic ultrasound guided radiofrequency ablation for pancreatic tumors: A critical review focusing on safety, efficacy and controversies

doi:10.3748/wjg.v29.i1.157

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World Journal of Gastroenterology

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1007-9327

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Gastroenterol. Jan 7, 2023; 29(1): 157-170
Published online Jan 7, 2023. doi: 10.3748/wjg.v29.i1.157

Table 5 Summary of efficacy and safety of endoscopic ultrasound-guided radiofrequency ablation for pancreatic tumors

Procedure	EUS-guided RFA for pancreatic
Procedure	Neuroendocrine tumors	Adenocarcinoma	Cystic tumors
Technical success	High	High	High
Safety, complications	Mild-moderate¹	Mild	Mild
Efficacy
Clinical improvement	Significant for insulinomas	None	-
Radiological partial/complete resolution	High	Modest	Encouraging
Palliation	-	Encouraging	-
Mortality	None	None	None

¹When taking prophylactic measures (antibioprophylaxis, fluid component suction before radiofrequency ablation).

EUS-RFA: Endoscopic ultrasound-radiofrequency ablation.

Citation: Khoury T, Sbeit W, Napoléon B. Endoscopic ultrasound guided radiofrequency ablation for pancreatic tumors: A critical review focusing on safety, efficacy and controversies. World J Gastroenterol 2023; 29(1): 157-170
URL: https://www.wjgnet.com/1007-9327/full/v29/i1/157.htm
DOI: https://dx.doi.org/10.3748/wjg.v29.i1.157