ASGE Postgraduate Course at ACG 2022: Expanding the Scope of Fundamental and Advanced Endoscopy | October 2022-Case: Biliary Stenting for Cholangiocarcinoma

Video Transcription

Video Summary

In this video, the speaker presents two cases of pancreatic fluid collections. The first case involves a 49-year-old male with no history of acute pancreatitis but severe abdominal pain and weight loss. The patient had previously undergone cystogastrostomy and necrosectomy with minimal improvement in symptoms. An endoscopic ultrasound revealed a large, complex, multi-septated collection, which was later confirmed to be a mucinous cystic neoplasm. The speaker emphasizes the importance of considering alternative diagnoses and consulting surgery before draining collections. The second case involves a 54-year-old female with no history of acute pancreatitis but presented with abdominal pain. The endoscopic ultrasound revealed a fluid collection with a normal pancreatic parenchyma, making the diagnosis challenging. The speaker discusses the differential diagnoses and the importance of sampling via biopsy for appropriate treatment. The key takeaway from both cases is to carefully evaluate and consider alternative options before draining pancreatic fluid collections.

Asset Subtitle

Ji Young Bang, MD, MPH

Keywords

pancreatic fluid collections

mucinous cystic neoplasm

endoscopic ultrasound

alternative diagnoses

biopsy