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

Video Transcription

Video Summary

In this video, the presenter discusses two cases of pancreatic fluid collections. The first case is a 49-year-old male with abdominal pain and weight loss. Despite having no history of pancreatitis, he had a large multi-septated fluid collection next to the pancreas. The presenter explains that the patient had previously undergone cystogastrostomy and endoscopic necrosectomy but had minimal improvement in symptoms. A sample of the fluid revealed a mucinous cystic neoplasm. The presenter emphasizes the importance of considering alternative diagnoses before draining collections. In the second case, a 54-year-old female had a pancreatic fluid collection with normal pancreatic parenchyma. The presenter discusses differential diagnoses and highlights the need for sampling for appropriate therapy. The fluid collection was eventually found to be a neuroendocrine tumor. The presenter underscores the importance of avoiding unnecessary procedures and considering alternative options.

Asset Subtitle

Ji Young Bang, MD, MPH

Keywords

pancreatic fluid collections

abdominal pain

weight loss

mucinous cystic neoplasm

neuroendocrine tumor