EUS-guided radiofrequency ablation in the pancreas

Czech version

Authors: J. Jarošová; P. Mačinga; A. Hujová; T. Hucl
Authors‘ workplace: Klinika hepatogastroenterologie, Institut klinické a experimentální medicíny, Praha
Published in: Gastroent Hepatol 2024; 78(5): 388-394
Category:
doi: https://doi.org/10.48095/ccgh2024388

Overview

Incident cystic lesions of the pancreas are diagnosed with increased frequency due to increased use of CT or MR imaging in asymptomatic patients who undergo imaging for other reasons. Certain lesions such as neuroendocrine tumors, mucinous cystadenomas, and intraductal papillary mucinous neoplasia are at significant risk of the presence or development of malignancy. Endosonographically guided radiofrequency ablation allows selective ablation of the pancreatic lesion with minimal damage to surrounding tissue and could be an alternative treatment modality for patients who do not want or cannot undergo surgery or do not wish to have a long-term follow-up. Based on the available pilot studies, EUS-RFA appears to be a promising technically feasible method for the treatment of pancreatic neoplasia, which has demonstrated high technical and acceptable clinical success rates with low morbidity. This communication offers a clear summary of the use of EUS-RFA in solid and cystic pancreatic neoplasia concluding with two case reports of patients. In both cases, endoscopic treatment was technically feasible and no periprocedural or postprocedural complications occurred.

Keywords:

radiofrequency ablation – pancreas – neuroendocrine tumour – pancreatic cystic lesion

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ORCID autorů

J. Jarošová 0000-0002-0275-4282,

P. Mačinga 0000-0003-3699-6914,

A. Hujová 0000-0002-1282-095X,

T. Hucl 0000-0002-5648-4011.

Doručeno/Submitted: 7. 10. 2024

Přijato/Accepted: 17. 10. 2024

Korespondenční autor

prof. MUDr. Tomáš Hucl, Ph.D.

Klinika hepatogastroenterologie

Institut klinické a experimentální medicíny

Vídeňská 1958/9