Matches in SemOpenAlex for { <https://semopenalex.org/work/W1971131712> ?p ?o ?g. }
Showing items 1 to 72 of
72
with 100 items per page.
- W1971131712 endingPage "P94" @default.
- W1971131712 startingPage "P94" @default.
- W1971131712 abstract "Introduction: Cystic lesions of the pancreas are increasingly discovered with the widespread use of CT and MRI scanning. EUS-FNA is often used to evaluate these lesions and determine the risk of malignancy. Since ethanol lavage is often used to ablate other epithelial cysts, this simple technique might be applicable to cystic lesions of the pancreas if there is a low risk of complications. Aim: We sought to determine the safety and feasibility of EUS-guided ethanol lavage in patients undergoing EUS-FNA of a cystic lesion. Methods: Patients at Mass. General Hospital with a 1-4cm macrocystic lesion of the pancreas were recruited over the past 2 years using an IRB-approved protocol. Exclusion criteria included evidence of active pancreatitis, coagulopathy, or an adjacent dilated pancreatic duct. 24 patients have undergone EUS-FNA, combined with ethanol lavage. Ethanol lavage was performed with dilute ethanol (5-80%) for 3-5 minutes and removed by aspiration. Cyst fluid was analyzed for cytology, amylase, and CEA. Patients were monitored for 2 hours after EUS and questioned regarding abdominal pain, nausea, and vomiting. All patients were contacted by phone at 48 hours and questioned regarding symptoms arising after the procedure. Results: Patient characteristics: Mean age (64yrs); Gender (19 females 5 males); Location (9 tail, 7 body, 8 head); Mean diameter (18.2mm) ; Mean wall thickness (1.6mm); Morphology (18 unilocular, 6 septated); Cyst fluid : mucoid (13/24), Mean CEA (2822 ng/ml), Mean amylase (15,001 U/ml), Cytology (mucinous-3, serous-2, inflamm-5, non-diagnostic-14). No patients developed abdominal pain, nausea, vomiting, or fever after the lavage (starting with 5% and increasing to 80% ethanol). 8 pts have undergone follow-up imaging. 5/8 pts have had resolution of the cystic lesion. 3/8 pts have a persistent cystic lesion (two patients with multiple cysts, one patient with a unilocular cyst). 3 patients (5%,40%,40% ethanol) have undergone resection. Surgical pathology demonstrated epithelial denudation without evidence of pancreatitis. Conclusions: EUS-guided ethanol lavage does not appear to cause pancreatitis or abdominal pain. Preliminary results suggest that it may be effective in cyst ablation." @default.
- W1971131712 created "2016-06-24" @default.
- W1971131712 creator A5027534317 @default.
- W1971131712 creator A5039804863 @default.
- W1971131712 creator A5045928824 @default.
- W1971131712 date "2004-04-01" @default.
- W1971131712 modified "2023-09-28" @default.
- W1971131712 title "EUS-guided Ethanol Lavage of Cystic Lesions of the Pancreas Is Feasible and Safe" @default.
- W1971131712 doi "https://doi.org/10.1016/s0016-5107(04)00481-x" @default.
- W1971131712 hasPublicationYear "2004" @default.
- W1971131712 type Work @default.
- W1971131712 sameAs 1971131712 @default.
- W1971131712 citedByCount "6" @default.
- W1971131712 crossrefType "journal-article" @default.
- W1971131712 hasAuthorship W1971131712A5027534317 @default.
- W1971131712 hasAuthorship W1971131712A5039804863 @default.
- W1971131712 hasAuthorship W1971131712A5045928824 @default.
- W1971131712 hasConcept C126322002 @default.
- W1971131712 hasConcept C126838900 @default.
- W1971131712 hasConcept C141071460 @default.
- W1971131712 hasConcept C142724271 @default.
- W1971131712 hasConcept C150173356 @default.
- W1971131712 hasConcept C18823058 @default.
- W1971131712 hasConcept C2775934546 @default.
- W1971131712 hasConcept C2775967933 @default.
- W1971131712 hasConcept C2776170712 @default.
- W1971131712 hasConcept C2778764654 @default.
- W1971131712 hasConcept C2779399171 @default.
- W1971131712 hasConcept C2779960720 @default.
- W1971131712 hasConcept C2780580376 @default.
- W1971131712 hasConcept C2780597408 @default.
- W1971131712 hasConcept C2780955771 @default.
- W1971131712 hasConcept C2781156865 @default.
- W1971131712 hasConcept C71924100 @default.
- W1971131712 hasConceptScore W1971131712C126322002 @default.
- W1971131712 hasConceptScore W1971131712C126838900 @default.
- W1971131712 hasConceptScore W1971131712C141071460 @default.
- W1971131712 hasConceptScore W1971131712C142724271 @default.
- W1971131712 hasConceptScore W1971131712C150173356 @default.
- W1971131712 hasConceptScore W1971131712C18823058 @default.
- W1971131712 hasConceptScore W1971131712C2775934546 @default.
- W1971131712 hasConceptScore W1971131712C2775967933 @default.
- W1971131712 hasConceptScore W1971131712C2776170712 @default.
- W1971131712 hasConceptScore W1971131712C2778764654 @default.
- W1971131712 hasConceptScore W1971131712C2779399171 @default.
- W1971131712 hasConceptScore W1971131712C2779960720 @default.
- W1971131712 hasConceptScore W1971131712C2780580376 @default.
- W1971131712 hasConceptScore W1971131712C2780597408 @default.
- W1971131712 hasConceptScore W1971131712C2780955771 @default.
- W1971131712 hasConceptScore W1971131712C2781156865 @default.
- W1971131712 hasConceptScore W1971131712C71924100 @default.
- W1971131712 hasIssue "5" @default.
- W1971131712 hasLocation W19711317121 @default.
- W1971131712 hasOpenAccess W1971131712 @default.
- W1971131712 hasPrimaryLocation W19711317121 @default.
- W1971131712 hasRelatedWork W2008878688 @default.
- W1971131712 hasRelatedWork W2061446236 @default.
- W1971131712 hasRelatedWork W2062990203 @default.
- W1971131712 hasRelatedWork W2162529092 @default.
- W1971131712 hasRelatedWork W2409567941 @default.
- W1971131712 hasRelatedWork W2425000552 @default.
- W1971131712 hasRelatedWork W2770688246 @default.
- W1971131712 hasRelatedWork W3200568021 @default.
- W1971131712 hasRelatedWork W379607641 @default.
- W1971131712 hasRelatedWork W4291667073 @default.
- W1971131712 hasVolume "59" @default.
- W1971131712 isParatext "false" @default.
- W1971131712 isRetracted "false" @default.
- W1971131712 magId "1971131712" @default.
- W1971131712 workType "article" @default.