‘Understanding pancreatic cyst is the need of the hour’

A session regarding pancreatic Cyst held on the day two of the second Asian EUS Congress 2017 conference briefed about EUS-guided therapy of pancreatic cysts, EUS morphology of pancreatic cysts and so on

Pancreatic cysts are sac-like pockets of fluid on or in pancreas, a large organ behind the stomach that produces hormones and enzymes that help digest food. Most pancreatic cysts aren’t cancerous, and many don’t cause symptoms. They’re typically found during imaging testing for another problem. Some are actually noncancerous (benign) pockets of fluids lined with scar or inflammatory tissue, not the type of cells found in true cysts (pseudocysts).

'Understanding pancreatic cyst is the need of the hour'
SP Misra, Professor head, gastroenterology president of GI society of India

Dr SP Misra, Professor head, gastroenterology president of GI society of India and past president of Indian Society of gastroenterology, said, “Pancreatic cyst is a common problem, it can be diagnosed with ultrasound, CT scan and MRI, but evaluation of this cyst is very difficult. So EUS is needed to evaluate the structure, put in the needle and take samples from there. But, not all cyst should be sampled, as sometimes it can create complications.”

While talking in the session on pancreatic cyst, Dr Marco Bruno, Erasmus Medical Centre, Rotterdam, Netherlands, informed, “Till date, MRI and EUS are the most appropriate imaging modalities for follow-up, but the performance is below par. Further development of better risk stratification strategies should guide the management. Application of molecular components of pancreatic cyst fluid (biomarkers) for individualised tailored surveillance is no hype, potentially promising, but no substance yet.”

Dr Dong Wan Seo, “Department of Gastroenterology, Asan Medical Centre University of Ulsan College of Medicine, Seoul, Korea-said, “EUS-guided ablation of PCT is a safe procedure, compared to surgery.”