Diagnosing high-grade pancreatic intraepithelial neoplasia in surgically altered anatomy using pancreatic juice cytology
This case highlights the effectiveness of balloon enteroscopy-assisted SPACE in diagnosing HG-PanIN in surgically altered anatomy. However, given the relatively high risk of pancreatitis, SPACE should be reserved for patients with imaging or clinical findings suggestive of malignancy. By overcoming technical obstacles, this method offers a promising diagnostic strategy for early-stage pancreatic ductal adenocarcinoma in surgically altered anatomy.
Authors
- Shin Yagi (ORCID: https://orcid.org/0000-0002-7722-5262)
- Takuji Okusaka
- Yutaka Saito (ORCID: https://orcid.org/0000-0003-2296-8373)
- Soma Fukuda (ORCID: https://orcid.org/0000-0003-2907-7776)
- Kohei Okamoto (ORCID: https://orcid.org/0000-0002-5441-3623)
- Susumu Hijioka (ORCID: https://orcid.org/0000-0002-0394-6876)
- Mark Chatto
Institutions
- Makati Medical Center (PH)
- National Cancer Center Hospital East (JP)
Publication Details
- Journal
- VideoGIE
- Published
- 2025-02-21
- DOI
- https://doi.org/10.1016/j.vgie.2025.02.006
- Primary Topic
- Pancreatic and Hepatic Oncology Research
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- National Cancer Center Japan