Endoscopic breakthroughs for pancreatic and other cancer diagnosis
March 19, 2015 | Jacksonville, FL
Baptist Medical Center Jacksonville is seeing breakthroughs in the treatment of pancreatic cysts and detecting pancreatic, esophageal, liver, gastric, kidney and colon cancers due to advances in imaging technology.
The new technology is helping gastroenterologists at Baptist Jacksonville get a microscopic view of cells during endoscopic and other procedures allowing for a speedier diagnosis and quicker treatment for patients.
Baptist Jacksonville is the first in the area to implement optical biopsies for pancreatic cysts and biliary strictures, which involves the bile duct, with this new advanced imaging technology known as Cellvizio®.
Cellvizio provides microscopic images of the lining of the GI tract and pulmonary tissue. Published clinical data shows that by adding Cellvizio to colonoscopies, endoscopies and a standard pancreatic and bile duct exam, physicians have been able to more accurately differentiate cancerous and pre-cancerous changes in tissue. In some cases, physicians have been able to perform minimally invasive treatments for conditions that traditionally required major surgical operations because of the improved view and understanding of the tissue.
"It works amazingly. I'm putting a microscope directly into the mass. I can see the real-time pathology and make a diagnosis within seconds," said gastroenterologist Jose Nieto, DO, FACP, FACG, AGAF, chairman of the Advanced Therapeutic Endoscopy Center at Borland-Groover Clinic and the first to use the device at Baptist Jacksonville. "The most important aspect is this allows us to tell the patient what is going on in a more timely manner."
Generally, it could take days for a diagnosis. While a tissue sample is still sent to the lab for final confirmation, having a visual diagnosis allows the physician to start scheduling other procedures needed to move forward with cancer treatment, if malignancy is found.
To use Cellvizio, the tiny microscope is threaded through a traditional endoscope like a catheter or biopsy forceps, while the patient is having an endoscopy. The microstructure of the digestive tract appears in real time on the screen under the administration of a contrast agent called fluorescein. It adds only a few minutes to the standard endoscopic exam.
Baptist Jacksonville is one of about 95 centers in the United States using Cellvizio. Cellvizio is cleared by the U.S. Food and Drug Administration for use in the GI tract and lungs.
“We are pleased to be able to offer Cellvizio and continue to provide our patients with the newest, most up-to-date technology within the field of endoscopy,” said Nancy Marlett, manager, Center for Endoscopy, CHF/Infusion Center, Wound Care for Baptist Health.
Michael McNeece, 68, of Jacksonville, was relieved to find out quickly that his pancreatic cyst was benign.
McNeece, who is retired from the U.S. Army and teaches part time, was having discomfort in his upper stomach area in December when a CT scan showed cysts. But he did not know if it was cancer until Dr. Nieto performed the procedure in January and was able to take a closer look and biopsy. Another larger cyst was also discovered and drained.
“We knew it could potentially be cancerous. There was a lot of apprehension and anxiety,” McNeece said. “I was pleased to get the results so quickly. It was very nice to be able to know on the same day as the procedure.”