How to do EUS-guided Pancreatic Cyst Chemoablation

This chapter presents a clinical and technical review of endoscopic ultrasound (EUS)-guided ablation E with our recommendations on the indications, contraindications, and appropriate patient selection, and a technical review of the performance of the procedure as well as follow-up. EUS-guided pancreatic cyst chemoablation has emerged as an innovative and promising minimally invasive approach for the treatment of pancreatic cysts. Patient preparation for pancreatic cyst ablation is similar to that for standard EUS-guided fine needle aspiration. A discussion with the anesthesiologist is important to ensure that the patient will be relatively during the actual ablation process and if excessive movement is felt to be likely, general anesthesia with paralysis should be considered. Careful patient selection is paramount, as is careful attention to the technical aspects of the procedure, postprocedure care, clinical follow-up, and quality assurance.