EUS Microforceps Biopsy of Pancreatic Cysts: Worth the Risk?

A new study suggests that the benefits might not outweigh the risk for adverse events, which was substantial.

Endoscopic ultrasound (EUS) has been the de facto gold standard procedure to evaluate and sample pancreatic cysts for 20 years. Most endosonographers can accurately characterize most pancreatic cysts using EUS imaging combined with cyst fluid analysis, but some cysts defy simple characterization, and a definitive diagnosis can be elusive even after EUS evaluation. Recently, a microforceps, inserted through an EUS fine-needle aspiration (FNA) needle, has been used to sample the lining of pancreatic cysts. A recent study provides a prospective evaluation of its utility and safety in 101 patients with pancreatic cysts.

Patients underwent EUS FNA and standard cyst fluid analysis, including cytologic evaluation, as well as microforceps biopsy. Te…

Reviewing Author

Douglas G. Adler, MD, FACG, AGAF, FASGE

Disclosures

Consultant/Advisory BoardBSC; Merit; Olympus

Speaker’s BureauAbbVie

Editorial BoardsGastrointestinal Endoscopy

Douglas G. Adler, MD, FACG, AGAF, FASGE

Disclosures

Consultant/Advisory BoardBSC; Merit; Olympus

Speaker’s BureauAbbVie

Editorial BoardsGastrointestinal Endoscopy

EUS Microforceps Biopsy of Pancreatic Cysts: Worth the Risk?

Topics

Reviewing Author