The concept and practice of fine pancreaticobiliary linear array endoscopic ultrasound_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 WANG Wei

Department of Gastroenterology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200080, P. R. China;

Corresponding?author：

WANG Wei, Email: wangwei_0306@163.com

Keywords：

fine linear array endoscopic ultrasound; pancreatic and biliary disease

DOI：

10.7507/1007-9424.202603023

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Early diagnosis and treatment, along with precise therapy, are key to overcoming pancreatic and biliary tumors. As a crucial complement to traditional imaging examinations, endoscopic ultrasound plays an increasingly vital role in clinical decision-making for the diagnosis and treatment of early-stage, complex, or challenging lesions. In 2025, based on learning and summarizing the operational expertise of predecessors, mentors, and peers, the author proposed the concept of “fine linear array endoscopic ultrasound” (retrieval reference number from Shanghai Jiao Tong University School of Medicine.LIBRARY: 2026015). This paper systematically elaborates and reports on the academic philosophy and theoretical-practice framework of this concept, including its definition, significance, advantages, implementation, clinical implications, foundational requirements for learning, mastery challenges, and corresponding strategies.

Citation： WANG Wei. The concept and practice of fine pancreaticobiliary linear array endoscopic ultrasound. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2026, 33(5): 664-672. doi: 10.7507/1007-9424.202603023 Copy

1.	Pedro BA, Wood LD. Early neoplastic lesions of the pancreas: initiation, progression, and opportunities for precancer interception. J Clin Invest, 2025, 135(14): e191937. doi: 10.1172/JCI191937.
2.	Pian LL, Song MH, Wang TF, et al. Identification and analysis of pancreatic intraepithelial neoplasia: opportunities and challenges. Front Endocrinol (Lausanne), 2025, 15: 1401829. doi: 10.3389/fendo.2024.1401829.
3.	Stoop TF, Javed AA, Oba A, et al. Pancreatic cancer. Lancet, 2025, 405(10485): 1182-1202.
4.	中華醫學會外科學分會胰腺外科學組. 中國胰腺癌診治指南 (2021). 中華外科雜志, 2021, 59(7): 561-577.
5.	Fri? P, ?edo A, ?krha J, et al. Early detection of sporadic pancreatic cancer: time for change. Eur J Gastroenterol Hepatol, 2017, 29(8): 885-891.
6.	中國研究型醫院學會肝膽胰外科專業委員會, 《中華消化外科雜志》編輯委員會. 肝門部膽管癌診斷和治療指南(2025版). 中華消化外科雜志, 2025, 14(3): 1-13.
7.	Saisho H, Yamaguchi T. Diagnostic imaging for pancreatic cancer computed tomography, magnetic resonance imaging, and positron emission tomography. Pancreas, 2004, 28(3): 273-278.
8.	Stoffel EM, Brand RE, Goggins M. Pancreatic cancer: changing epidemiology and new approaches to risk assessment, early detection, and prevention. Gastroenterology, 2023, 164(5): 752-765.
9.	Mohamed G, Munir M, Rai A, et al. Pancreatic cancer: screening and early detection. Gastroenterol Clin North Am, 2025, 54(1): 205-221.
10.	Alauddin MM, Palatis LD. Current and future trends in early detection of pancreatic cancer: molecular targets and PET probes. Curr Med Chem, 2015, 22(29): 3370-3389.
11.	Chari ST. Detecting early pancreatic cancer: problems and prospects. Semin Oncol, 2007, 34(4): 284-294.
12.	馬佳怡, 王凱旋, 金震東. 胰腺癌高危人群超聲內鏡標準化圖像和報告的制定意見—2022版胰腺癌早期篩查聯盟共識解讀. 中華胰腺病雜志, 2023, 23(2): 81-85.
13.	Gonda TA, Farrell J, Wallace M, et al. Standardization of EUS imaging and reporting in high-risk individuals of pancreatic adenocarcinoma: consensus statement of the Pancreatic Cancer Early Detection Consortium. Gastrointest Endosc, 2022, 95(4): 723-732. e7.
14.	國家消化病臨床醫學研究中心 (上海), 中國醫師協會胰腺病學專業委員會. 中國胰腺囊性腫瘤診斷指南(2022年). 中華消化內鏡雜志, 2022, 39(12): 949-960.
15.	中國醫師協會超聲內鏡專家委員會. 中國內鏡超聲引導下細針穿刺抽吸/活檢術應用指南 (2021, 上海). 中華消化內鏡雜志, 2021, 38(5): 337-360.
16.	European Study Group on Cystic Tumours of the Pancreas. European evidence-based guidelines on pancreatic cystic neoplasms. Gut, 2018, 67(5): 789-804.
17.	中華醫學會外科學分會胰腺外科學組. 胰腺囊性疾病診治指南 (2015). 中國實用外科雜志, 2015, 35(9): 955-959.
18.	王偉. 慢性胰腺炎: 理論與實踐Ⅱ. 北京: 人民衛生出版社, 2021: 197-407.

1. Pedro BA, Wood LD. Early neoplastic lesions of the pancreas: initiation, progression, and opportunities for precancer interception. J Clin Invest, 2025, 135(14): e191937. doi: 10.1172/JCI191937.
2. Pian LL, Song MH, Wang TF, et al. Identification and analysis of pancreatic intraepithelial neoplasia: opportunities and challenges. Front Endocrinol (Lausanne), 2025, 15: 1401829. doi: 10.3389/fendo.2024.1401829.
3. Stoop TF, Javed AA, Oba A, et al. Pancreatic cancer. Lancet, 2025, 405(10485): 1182-1202.
4. 中華醫學會外科學分會胰腺外科學組. 中國胰腺癌診治指南 (2021). 中華外科雜志, 2021, 59(7): 561-577.
5. Fri? P, ?edo A, ?krha J, et al. Early detection of sporadic pancreatic cancer: time for change. Eur J Gastroenterol Hepatol, 2017, 29(8): 885-891.
6. 中國研究型醫院學會肝膽胰外科專業委員會, 《中華消化外科雜志》編輯委員會. 肝門部膽管癌診斷和治療指南(2025版). 中華消化外科雜志, 2025, 14(3): 1-13.
7. Saisho H, Yamaguchi T. Diagnostic imaging for pancreatic cancer computed tomography, magnetic resonance imaging, and positron emission tomography. Pancreas, 2004, 28(3): 273-278.
8. Stoffel EM, Brand RE, Goggins M. Pancreatic cancer: changing epidemiology and new approaches to risk assessment, early detection, and prevention. Gastroenterology, 2023, 164(5): 752-765.
9. Mohamed G, Munir M, Rai A, et al. Pancreatic cancer: screening and early detection. Gastroenterol Clin North Am, 2025, 54(1): 205-221.
10. Alauddin MM, Palatis LD. Current and future trends in early detection of pancreatic cancer: molecular targets and PET probes. Curr Med Chem, 2015, 22(29): 3370-3389.
11. Chari ST. Detecting early pancreatic cancer: problems and prospects. Semin Oncol, 2007, 34(4): 284-294.
12. 馬佳怡, 王凱旋, 金震東. 胰腺癌高危人群超聲內鏡標準化圖像和報告的制定意見—2022版胰腺癌早期篩查聯盟共識解讀. 中華胰腺病雜志, 2023, 23(2): 81-85.
13. Gonda TA, Farrell J, Wallace M, et al. Standardization of EUS imaging and reporting in high-risk individuals of pancreatic adenocarcinoma: consensus statement of the Pancreatic Cancer Early Detection Consortium. Gastrointest Endosc, 2022, 95(4): 723-732. e7.
14. 國家消化病臨床醫學研究中心 (上海), 中國醫師協會胰腺病學專業委員會. 中國胰腺囊性腫瘤診斷指南(2022年). 中華消化內鏡雜志, 2022, 39(12): 949-960.
15. 中國醫師協會超聲內鏡專家委員會. 中國內鏡超聲引導下細針穿刺抽吸/活檢術應用指南 (2021, 上海). 中華消化內鏡雜志, 2021, 38(5): 337-360.
16. European Study Group on Cystic Tumours of the Pancreas. European evidence-based guidelines on pancreatic cystic neoplasms. Gut, 2018, 67(5): 789-804.
17. 中華醫學會外科學分會胰腺外科學組. 胰腺囊性疾病診治指南 (2015). 中國實用外科雜志, 2015, 35(9): 955-959.
18. 王偉. 慢性胰腺炎: 理論與實踐Ⅱ. 北京: 人民衛生出版社, 2021: 197-407.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

The concept and practice of fine pancreaticobiliary linear array endoscopic ultrasound

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content