Endoscopic Ethanol Ablation of Communicating Pancreatic Cystic Neoplasms

Inclusion Criteria

• •Presence of a pancreatic cystic lesion, at least 2 cm in maximum diameter
• •Cyst may communicate, or definitely communicates, with the pancreatic duct (based on prior CT, MR, ERCP, or EUS images)
• •Treatment of the cystic lesion is desired due to symptoms or concern for subsequent malignancy
• •Age at least 18 years
• •Able to give informed consent
• •Surgical treatment has been considered and a surgical consultation offered to the patient, OR the subject's cyst does not meet consensus criteria for surgical resection. (Current consensus criteria for resection are one or more of the following: cyst is symptomatic, ≥ 3 cm in diameter, contains a mural nodule, cytology of cyst fluid is positive for malignancy, or main pancreatic duct diameter is \> 6 mm.)