Neoplasms, Cystic, Mucinous, and Serous Clinical Trial
Official title:
Endoscopic Ultrasound-guided Ethanol Injection of Pancreatic Cystic Neoplasms
Cystic tumors of the pancreas are fluid-filled growths. They are often treated by surgical
removal. A safe and effective non-surgical treatment is desirable. Ethanol (alcohol)
injection may treat cysts by killing the lining cells of the cyst, and is an accepted
treatment for cysts of other organs. In this study, participants with pancreatic cysts
underwent endoscopic ultrasound (EUS) guided ethanol injection of pancreatic cysts. This was
a pilot study to assess safety and efficacy.
The hypotheses of this study were 1) complications of EUS guided ethanol injection requiring
hospitalization will occur in <10% of subjects, and 2) EUS guided ethanol injection, with
retreatment as necessary, will ablate at least 50% of pancreatic cysts.
EUS is performed via the mouth under sedation. After a needle is placed into the pancreas
cyst under EUS guidance, an ethanol solution is placed into the cyst via the needle. The
ethanol solution is withdrawn and new ethanol injected, and this process is continued for 5
minutes, repeatedly washing the cyst with the ethanol solution.
After this treatment, usual clinical follow-up is obtained including assessments of the cyst
by CT or MRI scans. If a cyst of significant size persists, additional EUS-guided ethanol
injections of the cyst were offered.
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