Thanks for your reply. My gastroenterologist does specialize in pancreatic cancer and GI Oncology. I just looked up his qualifications. He is on staff at my Hospital and they are affiliated with M.D Anderson which is a top cancer hospital down south where I live. When he did my UES he told me he would take a needle aspiration If he saw anything of concern. I will however seek all the information I can before making a decision as to treatment. This forum has given me information I wouldn't have thought to consider.