Related Experiment Video For Endoscopic ablation
Updated: Jan 15, 2026
Endoscopic Approach for Colloid Cyst Resection
Published on: May 23, 2025
Pancreatic Club Perspectives on Surgical Approach, Post-Resection Follow-Up, and Role of Endoscopic Ablation on
Miguel Martins1,2, Carlota Branco3, Miguel Bispo4
1Gastroenterology Department, Centro Hospitalar Universitário de São João, Porto, Portugal.
Background:
Pancreatic cystic neoplasms (PCNs) are lesions with malignant potential that should be addressed differently according to clinical/morphological criteria, to ensure appropriate cancer prevention and while avoiding overtreatment.
Summary:
Surgical resection remains the gold standard for high-risk PCNs (at least one high-risk stigmata, multiple "worrisome" features), whereas low-risk PCNs should be monitored through imaging to mitigate the non-negligible risk of postoperative complications. Endoscopic ultrasound (EUS)-guided therapies, such as injection or radiofrequency, may offer a minimally invasive and effective therapeutic option particularly for patients unfit for surgery, although their impact on prognostic (i.e., mortality) remains uncertain.
Key Messages:
This review summarizes the latest recommendations on surgical management and post-resection follow-up of PCNs and the potential role of EUS ablation in the treatment algorithm.
