EUS-guided pancreatic cyst ablation: a critical review (with video)

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EUS-guided pancreatic cyst ablation: a critical review (with video) Hyoung-Chul Oh, MD, William R. Brugge, MD Gastrointestinal Endoscopy Volume 77, Issue 4, Pages 526-533 (April 2013) DOI: 10.1016/j.gie.2012.10.033 Copyright © 2013 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 1 Stepwise EUS-guided pancreatic cyst ablation therapy. Step 1: FNA (left) within a septated cyst (heavy black line). Step 2: 5-minute ethanol (middle) lavage of the cyst, followed by aspiration of the ethanol. Step 3: injection of paclitaxel (right) into the cyst, resulting in expansion of the cyst to its original diameter. Gastrointestinal Endoscopy 2013 77, 526-533DOI: (10.1016/j.gie.2012.10.033) Copyright © 2013 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 2 A, B, A 36-mm unilocular cyst in the body of the pancreas. C, Dense calcification replaced the original cyst on follow-up CT scan at 30 months after cyst ablation. Gastrointestinal Endoscopy 2013 77, 526-533DOI: (10.1016/j.gie.2012.10.033) Copyright © 2013 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 3 Spectrum of histopathologic changes after cyst ablation: atrophied epithelium (A), transitional area (B), persistent mucinous epithelium (C). Gastrointestinal Endoscopy 2013 77, 526-533DOI: (10.1016/j.gie.2012.10.033) Copyright © 2013 American Society for Gastrointestinal Endoscopy Terms and Conditions