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Pancreatic Cysts

Improved Patient Management Through Highly Accurate Cyst Assessment

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Needle-based Confocal Laser Endomicroscopy ( nCLE ) with Cellvizio allows you to see the cyst wall at the microscopic level, in real time, for the first time through a high-speed flexible microscope threaded inside a 19-gauge needle during EUS-FNA procedures.

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EUS-FNA plus Cellvizio can help in clinical practice by: 

  • Improving the characterization for indeterminate cysts3, 6, 7
  • Confirming the EUS impression, when cytological confirmation is missing3, 6, 7
  • Providing high specificity and inter and intraobserver agreement3
  • Reducing the rate of surgery4

Hear Dr Divyesh Sejpal talk about the value of nCLE in Pancreatic Cysts

Initial and continuous training programs are available to facilitate integration of needle-based Confocal Laser Endomicroscopy into your clinical practice. 

Also take a look at all the clinical data supporting Cellvizio in Pancreatic Cyst Management 

1. Krishna, S. et al. Needle-based confocal laser endomicroscopy for the diagnosis of pancreatic cystic lesions: an international external interobserver and intraobserver study (with videos). Gastrointestinal Endoscopy 2017.
2. Nakai Y. et al. Diagnosis of pancreatic cysts: EUS-guided, through the needle confocal laser-induced endomicroscopy and cystoscopy trial: DETECT study. GIE 2015 
3. Napoleon B, et al. Needle-based Confocal Laser Endomicroscopy (nCLE) for the diagnosis of pancreatic cystic lesions: preliminary results of the first prospective multicenter study, presentation at UEGW 2016
4. Le Pen C et al. A health economic evaluation of needle-based Confocal Laser Endomicroscopy for the diagnosis of pancreatic cysts. Article accepted for publication Endoscopy International Open (2017); doi. org/10.1055/s-0043-117947
5. Jais B. et al. Serous cystic neoplasm of the pancreas: a multinational study of 2622 patients under the auspices of the International Association of  Pancreatology and European Pancreatic Club (European Study Group on Cystic Tumors of the Pancreas). Gut 2015
6. Nakai Y, et al. Diagnosis of pancreatic cysts: EUS-guided, through-the-needle confocal laser-induced endomicroscopy and cystoscopy trial: DETECT study. Gastrointestinal Endoscopy, 2015.
7. Konda VJA, et al. A pilot study of in vivo identification of pancreatic cystic neoplasms with needle-based confocal laser endomicroscoscopy under endosonographic guidance. Endoscopy, 2013. (INSPECT)

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