It is less likely to be recommended at smaller hospitals and regional medical centers as they are not high-volume centers and don’t have GI oncologists whose sub-specialty is pancreatic cancer. Pancreas specialists are the ones that go to specialized meetings/conferences and more likely to be familiar. Many of the NCI designated centers of excellence and Comprehensive Cancer Centers with high-volume treatment programs are where it is likely to be mentioned. Columbia Presbyterian Medical Center in NYC has been conducting a large, multi-arm clinical study. I don’t believe the results are available yet.

The pancreatic cancer advocacy organization LetsWinPC.org did a feature article on the technique after I brought it to their attention and I frequently mention it at PanCAN.org, Seena Magowitz Foundation and Craig’s Cause Zoom meetings. I will mention it to a member of the ASCO Pancreas Cancer/GI Cancers task force to see what can be done in elevating awareness and see that it becomes standard of practice.