ASGE Endoscopy Live: Pancreatobiliary Cases and Updates (virtual)

Video Transcription

Video Summary

In this video, Dr. Ginsberg and his team discuss a complex case of an 81-year-old patient with pericardial lymphoma and non-functional independent diabetes. The patient had presented with weight loss, dyspolar stool, fever, and liver enzyme abnormalities. Imaging tests showed polystatic pyelonecephaly and dilation of the biliary tree and common pancreatic duct. An ERCP revealed an ulcerated ampulla, and a stent was placed. The patient then underwent an EOS showing an abnormal level in the head of the pancreas, and fine needle aspiration (FNA) was performed. The cytopathology results were inconclusive, and a CT-PET showed an increased size of a soft tissue mass in the left iliac wing, consistent with lymphoma. Dr. Ginsberg discussed the challenges of accessing the duodenum and the possible treatment options, including replacing the stent with a removable or fully covered metal stent. The team considers the possibility of autoimmune pancreatitis (AIP) and plans to perform another FNA. The video ends with Dr. Ginsberg showing the EUS images of the tumor. No credits were mentioned in the video.

Asset Subtitle

Gregory Ginsberg, MD

Keywords

pericardial lymphoma

non-functional independent diabetes

ulcerated ampulla

lymphoma

autoimmune pancreatitis