Thomas Kowalski, MD is an associate professor of medicine and Medical Director of Gastrointestinal Endoscopy, Jefferson Digestive Disease Institute. He has been named one of the area’s Top Doctors by Philadelphia magazine.
Question: Recently, I had a CT scan for something totally unrelated, and an abnormality in my pancreas was found. My doctor says I need an endoscopic ultrasound for further evaluation. What is this procedure?
Answer: Your experience is not unusual -- abnormalities of the pancreas are often discovered on standard imaging studies. In fact, one-quarter of the population over 60 years has some abnormality of the pancreas that may need further evaluation for a possible precancerous lesion.
Endoscopic ultrasound, considered one of the best imaging procedures of the pancreas, provides high-resolution images of the entire pancreas. It allows the doctor to perform a needle biopsy -- the removal of tissue or fluid for examination under a microscope of any abnormality. The procedure is both safe and accurate.