ASGE DDW Videos from Around the World | 2022-EUS BETTER THAN CT MRI FOR DETECTION OF SUBTLE LESIONS

EUS BETTER THAN CT MRI FOR DETECTION OF SUBTLE LESIONS

Video Transcription

Video Summary

In this video, it is discussed how endoscopic ultrasound (EUS) can be more effective than computer tomography (CT) or magnetic resonance imaging (MRI) for detecting sub lesions of the pancreas. Two case studies are presented to demonstrate the usefulness of EUS. In the first case, a 38-year-old female with recurring pancreatitis had a bilobular cyst in the pancreas. EUS revealed an inhomogeneous area and a contrast-enhanced ultrasound confirmed the presence of a cystic neoplasm. The patient underwent surgery and a low-grade mucinous neoplastic lesion was discovered. In the second case, a 63-year-old female presented with abdominal pain and EUS detected an inhomogeneous area with high-grade dysplasia. Upon surgery, peritoneal carcinomatosis and infiltration of the duodenum were discovered. The video concludes that EUS can be a critical tool for diagnosing patients with obscure symptoms or negative radiologic imaging. No credits were given for this video.

Keywords

endoscopic ultrasound

pancreatic sub lesions

case studies

diagnosis

obscure symptoms