Pancreatic cysts represent a growing public health dilemma, particularly as our population ages and cross-sectional imaging becomes more widespread. Mucinous cysts are precancerous and carry the potential of developing into pancreatic cancer, which carries an extremely poor prognosis.  Determining which cysts will develop cancer may be challenging, and surgical resection of the pancreas carries significant morbidity.  Endoscopic ultrasound-guided chemoablation of neoplastic pancreatic cysts is a minimally invasive and evolving technique with different approaches which have varying levels of efficacy and safety.  The goal of this seminar is to review the rationale for cyst ablation and discuss prior and current research on cyst ablation techniques as well as reviewing efficacy, indications, contraindications, and optimal patient selection.

Release Date: March 25, 2022
Viewing Time: 1.5 hours

1. Define the background and rationale for EUS-guided pancreatic cyst chemoablation.
2. Review the indications and contraindications for EUS-guided pancreatic cyst chemoablation with special attention to which patients make good candidates.
3. Describe the technique of EUS-guided pancreatic cyst chemoablation
4. Review the ideal features of a pancreatic cyst ablation program including multidisciplinary evaluation, patient follow-up, and quality assurance.
5. List reported adverse events from pancreatic cyst ablation and their potential management.

1. Close other applications and browser tabs. This decreases the load on memory so your computer or other device can focus on streaming.
2. Use a 5 GHz frequency if your router supports it. The common 2.4 GHz frequency is used by household appliances, so is more crowded. Avoiding it is like getting into the carpool lane on a freeway: smoother sailing.
3. Use Ethernet instead of Wi-Fi if possible but GI LEAP is built with Wi-Fi in mind. 
4. Monitor your internet connection. If your ISP has promised you 5MBps and you are getting only 1MBps, it's time for a phone call to your internet provider to sort that out.