{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T19:32:53Z","timestamp":1757619173009,"version":"3.44.0"},"reference-count":8,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Frontline Gastroenterol"],"accepted":{"date-parts":[[2016,7,18]]},"published-print":{"date-parts":[[2017,1]]},"abstract":"<jats:p>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%\u201397%. 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.<\/jats:p>","DOI":"10.1136\/flgastro-2016-100716","type":"journal-article","created":{"date-parts":[[2016,8,9]],"date-time":"2016-08-09T22:43:51Z","timestamp":1470782631000},"page":"26-28","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["A regional EUS service using a collaborative network"],"prefix":"10.1136","volume":"8","author":[{"given":"H M","family":"Gordon","sequence":"first","affiliation":[{"name":"Department of Gastroenterology, Hampshire Hospitals NHS Foundation Trust, Winchester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D A J","family":"Lloyd","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Hampshire Hospitals NHS Foundation Trust, Winchester, 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