ASGE Endoscopy Live: Pancreatobiliary Cases and Updates (virtual)

Video Transcription

Video Summary

In this video, Dr. Al-Haddad and Dr. Sherman discuss the case of a 74-year-old female with a septated cystic lesion in the neck of the pancreas. They present an endoscopic ultrasound examination and demonstrate the use of needle-based confocal laser endomicroscopy (NCLE) to assess the cyst. They also discuss the diagnostic role of biochemical and molecular cyst fluid markers. Dr. Al-Haddad uses a Moray forceps to obtain tissue samples from the cyst wall for further analysis. They explain that the use of NCLE and the Moray forceps should be done selectively in cases where there is uncertainty about the underlying pathology or if there is a need for additional information to guide management decisions. They emphasize that these techniques should not be used routinely for all cysts, as most cysts are benign and do not require intervention. The video concludes with a discussion about the potential risks and complications associated with these procedures.

Asset Subtitle

Mohamad Al-Haddad, MD

Keywords

septated cystic lesion

endoscopic ultrasound examination

needle-based confocal laser endomicroscopy

biochemical markers

Moray forceps

uncertainty

complications