Endoscopic Interventions in Pancreatic Cystic Neoplasms

Sung Hyun Cho; Dong-Wan Seo

doi:10.1016/j.giec.2023.04.007

Endoscopic Interventions in Pancreatic Cystic Neoplasms

Gastrointest Endosc Clin N Am. 2023 Oct;33(4):867-877. doi: 10.1016/j.giec.2023.04.007. Epub 2023 May 16.

Authors

Sung Hyun Cho¹, Dong-Wan Seo²

Affiliations

¹ Department of Gastroenterology, Asan Medical Center, University of Ulsan College of Medicine, 88, Olympic-ro 43-gil, Songpa-gu, Seoul 05505, South Korea.
² Department of Gastroenterology, Asan Medical Center, University of Ulsan College of Medicine, 88, Olympic-ro 43-gil, Songpa-gu, Seoul 05505, South Korea. Electronic address: dwseoamc@amc.seoul.kr.

PMID: 37709417
DOI: 10.1016/j.giec.2023.04.007

Abstract

During the past two decades, there has been a significant evolution in endoscopic interventions in pancreatic cystic neoplasms (PCNs), ranging from diagnostic intervention (endoscopic ultrasound-guided through-the-needle biopsy [EUS-TTNB]) to therapeutic intervention (endoscopic ultrasound-guided pancreatic cystic ablation [EUS-PCA]). They have received attention as alternatives to conventional diagnostic and therapeutic modalities. EUS-TTNB can categorize PCN types accurately by providing histologic diagnoses that conventional diagnostic modalities cannot provide. As pancreatectomy entails high morbidities, EUS-PCA can be performed safely to treat PCNs in patients who refuse surgery or have high surgical risks.

Keywords: Endosonography; Ethanol; Injection; Interventional; Pancreatic cyst; Pancreatic neoplasms; Radiofreuqency ablation.

Publication types

Review

MeSH terms

Endoscopy
Humans
Neoplasms, Cystic, Mucinous, and Serous* / diagnostic imaging
Neoplasms, Cystic, Mucinous, and Serous* / surgery
Pancreas
Pancreatectomy
Pancreatic Neoplasms* / diagnostic imaging
Pancreatic Neoplasms* / surgery