TY - JOUR T1 - A regional EUS service using a collaborative network JF - Frontline Gastroenterology JO - Frontline Gastroenterol DO - 10.1136/flgastro-2016-100716 SP - flgastro-2016-100716 AU - H M Gordon AU - D A J Lloyd AU - A Higginson AU - R McCrudden AU - C Bent AU - F W Shek AU - R Beable AU - A Al-Badri AU - B Green AU - E Jaynes AU - B Foria AU - B S F Stacey Y1 - 2016/08/09 UR - http://fg.bmj.com/content/early/2016/08/09/flgastro-2016-100716.abstract N2 - 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. ER -