ASGE Endoscopy Live: Pancreatobiliary Cases and Updates (On-Demand)

Video Transcription

Video Summary

In this video, Dr. Mohamed Al-Haddad demonstrates an endoscopic ultrasound examination of a pancreatic cyst in a 74-year-old female patient. The patient has a history of chronic gastroesophageal reflux disease and an incidental finding of a septated cystic lesion in the neck of the pancreas. The objective of the procedure is to determine the nature of the cyst and assess its underlying pathology. Dr. Al-Haddad uses a needle-based confocal laser endomicroscopy (NCLE) to visualize the cyst wall and identify any abnormal features. He also performs tissue acquisition from the cyst wall using a Moray forceps.<br /><br />During the examination, Dr. Al-Haddad identifies a communication between the cyst and the side branch of the main pancreatic duct, suggestive of a side branch intraductal papillary mucinous neoplasm (IPMN). He emphasizes the importance of combining both morphological and molecular data to make an accurate diagnosis and determine the appropriate management strategy for the patient. Dr. Al-Haddad also discusses the use of biochemical and molecular cyst fluid markers, such as glucose and DNA analysis, to further characterize the cyst.<br /><br />Overall, the video highlights the use of advanced endoscopic techniques in the evaluation of pancreatic cysts and the importance of integrating clinical, morphological, and molecular data for optimal management decisions. No credits were mentioned in the video.

Asset Subtitle

Mohamad Al-Haddad, MD

Keywords

endoscopic ultrasound examination

pancreatic cyst

septated cystic lesion

confocal laser endomicroscopy

intraductal papillary mucinous neoplasm

morphological data

molecular cyst fluid markers