ASGE Annual Postgraduate Course: Clinical Challenges and Real-Time Decision Making in GI Endoscopy (Live and Virtual)

Video Transcription

Video Summary

Dr. Stuart Sherman and Dr. Mohamed Al-Haddad discuss the case of a 74-year-old female with a septated cystic lesion in the neck of the pancreas. The patient had a family history of pancreatic cancer and was referred for endoscopic ultrasound-fine-needle aspiration (EUSFNA) to assess the lesion. They demonstrate the EUS exam of the pancreatic cyst and discuss the FNA technique. Dr. Al-Haddad uses needle-based confocal laser endomicroscopy (NCLE) to visualize the cyst wall and demonstrates tissue acquisition from the cyst wall using Moray forceps. They discuss the diagnostic role of biochemical and molecular cyst fluid markers, such as CEA and glucose, and molecular pathology, including KRAS and GNAS mutations.<br /><br />The video highlights the use of advanced imaging techniques to diagnose pancreatic cysts and determine their underlying pathology. The doctors emphasize the importance of careful assessment of each case and choosing appropriate interventions based on clinical findings.<br /><br />No credits were provided for this video.

Asset Subtitle

Mohamad Al-Haddad, MD

Keywords

pancreatic cyst

endoscopic ultrasound-fine-needle aspiration

needle-based confocal laser endomicroscopy

Moray forceps

biochemical cyst fluid markers

molecular cyst fluid markers

KRAS and GNAS mutations