EUS-Guided Enhanced Imaging and Sampling of Neoplastic Pancreatic Cysts

  • Shivangi KothariEmail author
  • Enqiang Linghu
  • Truptesh H. Kothari
  • Vivek Kaul


Incidental pancreatic cystic lesions are increasingly being detected with advances in the cross-sectional imaging modalities and also with the increasing use of the imaging studies such as ultrasound, CT, and MRI. These pancreatic cystic lesions can be benign (serous cysts, and pseudocysts), premalignant (IPMN, mucinous cysts, etc.), or malignant and thus an accurate diagnosis and appropriate management of these cysts is very essential, but challenging at the same time. CT/MRI can be inconclusive at times and EUS-FNA can help characterize the pancreatic cysts to some extent but that too has its limitations. Recently developed EUS-based imaging and sampling platforms such as needle-based confocal laser endomicroscopy, cystoscopy, contrast enhanced EUS, cyst biopsy, and brushing can further help the endosonographer distinguish the various types of pancreatic cystic lesions. In this chapter, we will discuss these EUS-based imaging and tissue acquisition modalities in the evaluation of pancreatic cystic lesions.


Endoscopic ultrasound (EUS) Pancreatic cyst Pancreatic cyst imaging 

Supplementary material

Video 12.1

EUS-guided enhanced imaging and sampling of neoplastic pancreatic cysts (Video clips courtesy of Mauna Kea Technologies, Pietro Fusaroli, Harshit Khara, and Enqiang Linghu) (MP4 421002 kb)


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Shivangi Kothari
    • 1
    Email author
  • Enqiang Linghu
    • 2
  • Truptesh H. Kothari
    • 1
  • Vivek Kaul
    • 1
  1. 1.Division of Gastroenterology and Hepatology, Department of MedicineUniversity of Rochester Medical CenterRochesterUSA
  2. 2.Department of GastroenterologyChinese People’s Liberation Army General HospitalBeijingChina

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