Tag: pancreatic cyst

Pancreas cystic lesion with surprise findings on confocal laser endomicroscopy

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Post written by Samer El-Dika, MD, FASGE, from Stanford University, Stanford, California, USA. This video case involves a 74-year-old woman with a pancreatic tail cyst identified incidentally. Initial imaging and fluid analysis suggested a nonmucinous cyst, but amylase levels hinted at possible duct communication. To better characterize the lesion, we used EUS-guided needle-based confocal laser endomicroscopy (EUS-nCLE). …

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Top tips for EUS-guided pancreatic cyst chemoablation (with video)

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Post written by Matthew T. Moyer, MD, MS, FASGE, from Penn State Health Milton S. Hershey Medical Center, Hershey, Pennsylvania, USA. EUS-guided pancreatic cyst chemoablation is a rapidly developing, minimally invasive approach for treating appropriately selected mucinous pancreatic cysts. This article reviews best practices for this procedure including patient selection, setup, procedure performance, team structure, radiographic …

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Successful EUS-guided pancreatic cyst chemoablation safely allows reduction in the frequency of radiographic surveillance: long-term follow-up of randomized prospective data

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Post written by J. Westley Heinle, MPH, from the the Division of Gastroenterology and Hepatology, Penn State College of Medicine and Penn State Hershey Medical Center, Hershey, Pennsylvania, USA. The 2 randomized prospective Chemotherapy for Ablation and Resolution of Mucinous Pancreatic Cysts (ChARM) clinical trials investigate and develop alcohol-free EUS-guided pancreatic cyst chemoablation. The current investigation …

Continue reading Successful EUS-guided pancreatic cyst chemoablation safely allows reduction in the frequency of radiographic surveillance: long-term follow-up of randomized prospective data

Comparison of outcomes of EUS-guided ablation and surveillance only for pancreatic cystic lesions: a propensity score–matching study (with videos)

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Post written by Yun Je Song, MD, Gunn Huh, MD, and Do Hyun Park, MD, PhD, from the Division of Gastroenterology, Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea. The focus of our study was to compare the efficacy, safety, and oncologic outcomes of EUS-guided rapid ethanol lavage …

Continue reading Comparison of outcomes of EUS-guided ablation and surveillance only for pancreatic cystic lesions: a propensity score–matching study (with videos)

Managing acute hemorrhagic pancreatitis

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Ji Young Bang, MD, MPH, from the Division of Gastroenterology and Hepatology, Indiana University, in Indianapolis, Indiana, USA presents this video case "Management of acute hemorrhagic pancreatitis after EUS-guided FNA of a pancreatic cyst." Our VideoGIE video describes a case of a patient presenting with acute pancreatitis and a hemorrhagic pancreatic fluid collection (PFC) following EUS-FNA …

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Editor’s Choice- Diagnostic accuracy of mucinous pancreatic cysts

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Ananya Das, MD, FASGE, highlights this article from the January issue "Performance characteristics of molecular (DNA) analysis for the diagnosis of mucinous pancreatic cysts" by  Mohammad Al-Haddad, MBBS, MSc, FASGE, John DeWitt, MD, FASGE, Stuart Sherman, MD, FASGE, C. Max Schmidt, MD, PhD, Julia K. LeBlanc, MD, MPH, Lee McHenry, MD, Gregory Coté, MD, MS, …

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