Abstract
EUS-guided pancreatic cyst chemoablation has emerged as an innovative and minimally invasive approach for the treatment of neoplastic pancreatic cysts. Recently it has been shown that alcohol-free pancreatic cyst ablation offers an effective treatment option for appropriately selected mucinous cyst tumors with a superior safety profile compared to alcohol-based treatments, yet with preservation of treatment efficacy, to a patient population otherwise facing the alternatives or a major pancreatic surgery.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
References
Canakis A, Law R, Baron T. An updated review on ablative treatment of pancreatic cystic lesions. Gastrointest Endosc. 2020;91(3):520–6.
Moyer MT, Maranki JL, DeWitt JM. EUS-guided pancreatic cyst ablation: a clinical and technical review. Curr Gastroenterol Rep. 2019;22(5):19.
Teoh AY, Seo DW, Brugge WR, Dewitt J, Kongkam P, Linghu E, et al. Position statement on EUS-guided ablation of pancreatic cystic neoplasms from an international expert panel. Endosc Int Open. 2019;7(9):1064–77.
Moyer MT, Sharzehi S, Mathew A, Levenick JM, Headlee BD, Blandford JT, et al. The safety and efficacy of an alcohol-free pancreatic cyst ablation protocol. Gastroenterology. 2017;153:1295–303.
Oh HC, Brugge WR. EUS-guided pancreatic cyst ablation: a critical review (with video). Gastrointest Endosc. 2013;77:526–33.
Cho MK, Choi JH, Seo DW. Endoscopic ultrasound-guided ablation therapy for pancreatic cysts. Endosc Ultrasound. 2015;4:293–8.
Walsh LT, Hartz K, Lester C, Groff A, Mathew A, Birkholz JH, et al. EUS-guided pancreatic cyst chemoablation as a minimally-invasive alternative to pancreaticoduodenectomy and distal pancreatectomy for the management of appropriately selected mucinous pancreatic cysts: a single center experience. Gastroenterology. 2020;158(6).
Choi JH, Seo DW, Song TJ, Park DH, Lee SS, Lee SK, et al. Long term outcomes after endoscopic ultrasound-guided ablation of pancreatic cysts. Endoscopy. 2017;49:866–73.
Lester C, Walsh LT, Hartz K, Mathew A, Levenick JM, Headlee BD, et al. The durability of endoscopic ultrasound-guided ablation of pancreatic cysts: a long term follow up of the Charm prospective, randomized, controlled clinical trial. Gastroenterology. 2020;158(6).
Tanaka M, Castillo CF, Kamisawa T, Jang JY, Levy P, Ohtsuka T, et al. Revisions of international consensus Fukuoka guidelines for the management of IPMN of the pancreas. Pancreatology. 2017;17(5):738–53.
ASGE Standards of Practice Committee. The role of endoscopy in the diagnosis and treatment of cystic pancreatic neoplasms. Gastrointest Endosc. 2016;84:1–9.
Basar O, Brugge WR. Pancreatic cyst guidelines: which one to live by? Gastrointest Endosc. 2017;85(5):1032–5.
Maguchi H, Tanno S, Mizuno N, Hanada K, Kobayashi G, Hatori T, et al. Natural history of branch duct intraductal papillary mucinous neoplasms of the pancreas: a multicenter study in Japan. Pancreas. 2011;40:364–70.
Tanno S, Nakano Y, Koizumi K, Sugiyama Y, Nakamura K, Sasajima J, et al. Pancreatic ductal adenocarcinomas in long-term follow-up patients with branch duct intraductal papillary mucinous neoplasms. Pancreas. 2010;39:36–40.
Elta GH, Enestvedt BK, Sauer BG, Marie LA. ACG clinical guideline: diagnosis and management of pancreatic cysts. Am J Gastroenterol. 2018;113:464–79.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
1 Electronic Supplementary Material
Alcohol-free EUS-guided pancreatic cyst ablation of a mucinous-type pancreatic cyst (MOV 278584 kb)
Rights and permissions
Copyright information
© 2022 Springer Nature Singapore Pte Ltd.
About this chapter
Cite this chapter
Walsh, L.T., Moyer, M.T. (2022). Alcohol-Free EUS-Guided Pancreatic Cyst Chemoablation. In: Teoh, A.Y., Giovaninni, M., Khashab, M.A., Itoi, T. (eds) Atlas of Interventional EUS. Springer, Singapore. https://doi.org/10.1007/978-981-16-9340-3_35
Download citation
DOI: https://doi.org/10.1007/978-981-16-9340-3_35
Published:
Publisher Name: Springer, Singapore
Print ISBN: 978-981-16-9339-7
Online ISBN: 978-981-16-9340-3
eBook Packages: MedicineMedicine (R0)