ASGE ENDO Hangout for GI Fellows: Management of Pancreatic Cysts

Video Transcription

Video Summary

Summary: The video discusses two cases of pancreatic cysts, one being a macrocystic mucinous cystic neoplasm (MCN) and the other a microcystic serous cystadenoma (SCA). Details about the diagnostic procedures, management, and complications associated with these cysts are provided. The importance of accurate diagnosis and consideration of symptoms and potential complications in determining the appropriate management of pancreatic cysts is emphasized. The characteristics and differences between MCNs and SCAs are explained, with MCNs being predominantly found in females and having a higher likelihood of being pre-cancerous with elevated CEA levels. The use of amylase and glucose levels as diagnostic tools for cysts is also discussed. Surveillance timing and guidelines for frequency of imaging are highlighted. The case of a 37-year-old female with a solid-looking cyst, identified as a solid pseudopapillary tumor, is briefly mentioned. The role of size in determining the need for surgical intervention is emphasized, with larger cysts having a higher likelihood of requiring surgery. Pseudocysts and their drainage procedure are also addressed. The video concludes with a brief mention of cystic neuroendocrine tumors, highlighting the need for further evaluation and monitoring.<br /><br />Acknowledgment: The video content is likely a presentation or lecture possibly delivered by a medical professional specializing in pancreatic cysts and related conditions.

Keywords

pancreatic cysts

macrocystic mucinous cystic neoplasm

microcystic serous cystadenoma

diagnostic procedures

management

complications

accurate diagnosis

MCNs

CEA levels

amylase

glucose levels

surgical intervention