Case 151: Pancreatic Body Lesion Biopsy – Using a Blunt-Tip Stylet to Bypass Stomach

Current Case:

A 55-yrs old presented with a pancreatic body mass and liver lesions.

USG guided liver lesion biopsy was negative and the oncologist wanted a biopsy from the pancreatic body lesion.

What route will you take?

The video discusses the case, the approach to this lesion and a discussion of how to use the blunt tip stylet to navigate around bowel and vessels with 3 other cases.

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Region: Pancreas
Age: 55
Findings: Pancreatic body mass with liver lesions
Lesion Biopsied: Pancreatic body mass
Size of Lesion: Not relevant
Gun: 18G BARD, 20 mm throw, long
No of cores: 4 for HP and aspirate for cytology
Sedation: No
Position & Approach: Supine, using blunt needle to push stomach superiorly
Time Taken (marker to wash-out): 10 mins
Complication: None
Level of Difficulty: 4/5
Diagnosis: Ductal adenocarcinoma of pancreas

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Case 151: Pancreatic Body Lesion Biopsy – Using a Blunt-Tip Stylet to Bypass Stomach

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