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Endoscopic ultrasound-guided radiofrequency ablation of pancreatic microcystic serous cystic neoplasms: A retrospective study

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Abstract
Background Endoscopic ultrasound-guided radiofrequency ablation (EUS-RFA) has been increasingly used for the management of various solid pancreatic tumors. This study aimed to evaluate the feasibility and safety of EUS-RFA for serous cystic neoplasms (SCNs). Methods 13 patients with microcystic SCNs with honeycomb appearance underwent EUS-RFA using a 19-gauge RFA needle. Before ablation, cystic fluid was aspirated until a thin layer of fluid remained. Results EUS-RFA was successful in all patients. Seven patients underwent a single session and the remaining six patients underwent a second session of EUS-RFA. One patient (7.7%) experienced self-limited abdominal pain after EUS-RFA. During a median follow-up period of 9.21 months (interquartile range [IQR] 5.93-15.38), the median volume of the SCNs decreased from 37.82mL (IQR 15.03-59.53) at baseline to 10.95mL (IQR 4.79-32.39) at the end of follow-up.A radiologic partial response was achieved in eight patients (61.5%). Conclusions EUS-RFA is technically feasible and showed an acceptable rate of adverse events for patients with SCNs. A long-term follow-up study is required to evaluate the efficacy of EUS-RFA.
Author(s)
고성우김명환김진희박도현서동완송태준오동욱이성구홍승모
Issued Date
2021
Type
Article
Keyword
Innovations and brief communications
DOI
10.1055/a-1250-7786
URI
https://oak.ulsan.ac.kr/handle/2021.oak/7064
https://ulsan-primo.hosted.exlibrisgroup.com/primo-explore/fulldisplay?docid=TN_cdi_proquest_miscellaneous_2451850092&context=PC&vid=ULSAN&lang=ko_KR&search_scope=default_scope&adaptor=primo_central_multiple_fe&tab=default_tab&query=any,contains,Endoscopic%20ultrasound-guided%20radiofrequency%20ablation%20of%20pancreatic%20microcystic%20serous%20cystic%20neoplasms:%20A%20retrospective%20study&offset=0&pcAvailability=true
Publisher
ENDOSCOPY
Location
독일
Language
한국어
ISSN
0013-726X
Citation Volume
53
Citation Number
7
Citation Start Page
739
Citation End Page
743
Appears in Collections:
Medicine > Medicine
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