EUS: Seeing is believing
These are the two types of echoendoscopes:
Radial and Linear
A non-surgical therapy for pancreatic fluid collections
Pseudocyst drainage
What is the main outcome physicians try to prevent when conducting EUS/ERCP?
Pancreatitis
According to the Atlanta classification, how many types of Pancreatic Fluid Collections are there?
4
True or False: FNA Needles can be used with radial EUS scopes.
False
This technique is used to access biliary system if failed ERCP
EUS-guided rendezvous
Name one of the three diagnostic methods to view the pancreas:
Contrast-enhanced CT, MRI and MRCP, EUS
Most acute pancreatic fluid collections or acute necrotic collections do not require intervention, but when they do what are some of the symptoms that idicate drainage is needed?
True or False: Bile duct stones cannot be evaluated through EUS
False
Placement of radiographic markers to help guide directed radiation therapy
Fiducial Marking
True or False: As high as 10% of all ERCPs may cause acute pancreatitis.
False, 5%
Name the three treatment options for PFCs.
1. Surgical Therapy
2. Percutaneous Therapy
3. Endoscopic Therapy
Name the three most common needle sizes:
19 ga, 22 ga, 25 ga
Injection of steroid or alcohol for treatment of pain from chronic pancreatitis or pancreatic cancer
Celiac Plexus Block or Neurolysis
What percentage of chronic pancreatitis is associated with long-term, heavy alcohol use?
50-55%
What is an advantage to a LAMS compared to other stents?
Single step deployment, minimal stent migration, ability to perform endoscopic debridement
This needle provides core tissue samples which in turn provides a better artifact for oncology research:
FNB Fine Needle Biopsy
Name two uses of Lumen Apposing Metal Stents:
Walled off necrosis and pseudocyst drainage
How much does acute pancreatitis cost annually?
$2.6 billion
How large (in cm) must a pseudocyst/WON measure to be indicated for drainage via a LAMS?
6 cm