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Endoscopic Imaging of Pancreatic Cysts
Ahmad M Al-Taee1, Jason R Taylor2
1Carle Illinois College of Medicine, University of Illinois Urbana-Champaign, Digestive Health Institute, 611 West Park Street, Urbana, IL 61801, USA.
Gastrointestinal Endoscopy Clinics of North America
|May 28, 2023
Summary
Diagnosing pancreatic cystic lesions (PCLs) is crucial for determining treatment. This review details endoscopic imaging techniques and adjuncts for accurate PCL classification and management guidance.
Area of Science:
- Gastroenterology
- Medical Imaging
- Oncology
Background:
- Pancreatic cystic lesions (PCLs) are increasingly detected due to advances in cross-sectional imaging.
- Accurate PCL diagnosis is vital for guiding patient management, distinguishing between surgical resection and surveillance.
- A multidisciplinary approach combining clinical, imaging, and cyst fluid analysis aids PCL classification.
Purpose of the Study:
- To review the role of endoscopic imaging in the diagnosis and management of PCLs.
- To highlight key endoscopic and endosonographic features of various PCLs.
- To discuss the utility of advanced endoscopic techniques in PCL evaluation.
Main Methods:
- Review of current literature on endoscopic imaging of PCLs.
- Detailed description of endoscopic ultrasound (EUS) features and fine-needle aspiration (FNA) findings.
- Evaluation of adjunct endoscopic techniques including microforceps, contrast-enhanced EUS, pancreatoscopy, and confocal laser endomicroscopy.
Main Results:
- Endoscopic imaging, particularly EUS with FNA, provides critical data for PCL characterization.
- Specific endoscopic and endosonographic features correlate with different PCL types.
- Advanced techniques offer enhanced visualization and tissue acquisition for improved diagnostic accuracy.
Conclusions:
- Endoscopic imaging is a cornerstone in the evaluation of PCLs.
- Adjunct endoscopic techniques can significantly improve the diagnostic yield and characterization of PCLs.
- Accurate endoscopic assessment facilitates appropriate management strategies for PCLs, optimizing patient outcomes.
Keywords:
Contrast-enhanced EUSEndoscopic ultrasound (EUS)Intraductal papillary mucinous neoplasm (IPMN)Mucinous cystic neoplasm (MCN)Pancreatic cystic lesionsPancreatic cystic neoplasmsPancreatic cystsSerous cystic neoplasm (SCN)More Related Videos
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