Endoscopic ultrasound-guided ethanol ablation for pancreatic cystic neoplasm ( with video)
10.3760/cma.j.issn.1007-5232.2018.05.001
- VernacularTitle:内镜超声引导下无水乙醇消融术治疗胰腺囊性肿瘤的初步研究(含视频)
- Author:
Liqi SUN
1
;
Fei JIANG
;
Zhendong JIN
Author Information
1. 第二军医大学附属长海医院消化内科
- Keywords:
Pancreatic neoplasms;
Endoscopic ultrasonography;
Ethanol;
Ablation
- From:
Chinese Journal of Digestive Endoscopy
2018;35(5):305-308
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate technical feasibility, safety and efficacy of endoscopic ultrasound-guided ethanol ablation (EUS-EA) for pancreatic cystic neoplasms (PCNs). Methods Clinical data of 10 patients with PCNs in Changhai Hospital from July 2013 to April 2017, including demographic information, EUS features, adverse events and follow-up data, were retrospectively studied. Efficacy was assessed according to imaging data.Results The mean largest diameter of the cyst was 2. 95±1. 56 cm.Cyst fluid analysis showed that there were 6 serous cystic neoplasms, 3 mucinous cystic neoplasms, and 1 indeterminate cyst. Totally 12 operations were performed successfully. No infection, pancreatitis, bleeding, pancreatic fistula or other severe complications with clinical significance occurred. The median follow-up time was 4. 0 months ( 3. 0-12. 0 months ). Three patients achieved complete resolution, 6 achieved partial resolution, 1 was stable disease, and no patient showed progressive tumor. Conclusion EUS-EA for PCNs has high operation success rate, less complication and satisfactory overall efficacy.