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- W2912696627 abstract "Introduction: Endoscopic Ultrasound (EUS) and MRI are the images of choice in the evaluation of pancreatic cysts. The majority of cysts in pancreatitis are pseudocysts. Fine needle aspiration (EUS-FNA) is considered when there are high risk or unusual features or diagnostic uncertainty. Aims: To evaluate the role of FNA in characterizing pancreatic cysts in pancreatitis. Methods: A retrospective analysis was performed on 27 patients who underwent EUS guided aspiration of pancreatic cysts between January and December 2016. All patients had a baseline MRI/MRCP. Demographics including age, sex and alcohol intake was noted. Indication for aspiration, cyst characteristics were documented and the presence of single or multiple cysts was included. Change of diagnosis, if any and post-procedural complications at 30 days were noted. Results: Demographics are shown in Table 1. 27 patients underwent FNA. Mean age was 65.4 years with male predominance (51.8% vs. 48.1%). Indication for EUS was for evaluation of pancreatic cyst (74.1%), suspected chronic pancreatitis (11.1%), pseudocyst (7.4%) and mass (7.4%). Of the 12 patients who had a history of pancreatitis, 6 (50%) had pseudocysts, 5 (41.6%) had mucinous cysts, and one (8.3%) had a benign serous cyst. Of the ones with pseudocysts, 2 (33.3%) had underlying malignancy causing pseudocysts to be drained. The final diagnosis following FNA was Intraductal Papillary Mucinous Neoplasm (IPMN- 37.0%), pseudocyst (25.9%), benign lesion (22.2%) and malignancy (14.8%). A change of initial diagnosis was noted in 12 (44.4%). There was a change in management in all twelve patients, with the need for surgery in 18%. No immediate or 30-day post-procedure complications were noted.Table: Table. Pancreatic cyst characteristicsConclusion: EUS guided aspiration should be considered in selected cysts irrespective of the preliminary clinical and radiologic diagnosis. In our study, a change of initial diagnosis was noted in 44%. Only 50% of cysts in pancreatitis were pseudocysts. Larger multicenter studies are needed to confirm the findings from our study and to validate the role of EUS-FNA in the role of pancreatic cysts in pancreatitis patients with atypical or high-risk features." @default.
- W2912696627 created "2019-02-21" @default.
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- W2912696627 date "2017-10-01" @default.
- W2912696627 modified "2023-10-18" @default.
- W2912696627 title "Pancreatic Cysts in Pancreatitis: Does EUS-FNA Add Value Over Baseline EUS or MRI?" @default.
- W2912696627 doi "https://doi.org/10.14309/00000434-201710001-02649" @default.
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