To document impact of EUS-FNA needle size and flexibility on effectiveness of pancreatic cystic lesions (PCL) drainage, on ability to obtain sufficient material for standard diagnostic testing, and on diagnostic accuracy of EUS-FNA aspirate for differentiation of mucinous (pre-malignant) and non-mucinous cysts.
Inclusion Criteria:
- Pancreatic cystic lesion measuring 13mm or greater in largest diameter.
- Indicated for EUS evaluation of the PCL including EUS-FNA.
- Age 18 years of age or older.
- Willing and able to comply with the study procedures and provide written informed consent form to participate in the study.
Exclusion Criteria:
- Cysts in which FNA is not indicated based on review by the clinician, including potential concern of blood vessel location relative to the cyst.
- Requirement for anticoagulation using clopidogril, warfarin, or other long acting antiplatelet agents (with the exception of aspirin) that cannot be safely stopped at least 7 days prior to the procedure.
- Platelet count < 50,000/microliter.
- International normalized ratio (INR) > 1.5.
- Standard contraindications for EUS.
- Known pancreatic pseudocyst.
- Pregnancy.
Last updated: 03/28/2013
NCT ID: NCT01711294
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