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

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1 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 (April 2013) DOI: /j.gie Copyright © 2013 American Society for Gastrointestinal Endoscopy Terms and Conditions

2 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  , DOI: ( /j.gie ) Copyright © 2013 American Society for Gastrointestinal Endoscopy Terms and Conditions

3 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  , DOI: ( /j.gie ) Copyright © 2013 American Society for Gastrointestinal Endoscopy Terms and Conditions

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


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