Peroral pancreatoscopy via the minor papilla for diagnosis and therapy of pancreatic diseases

Applications of Cholangiopancreatoscopy in Pancreaticobiliary Diseases

“…Although the number of studies evaluating the use of pancreatoscopy for clearance of pancreatic duct stones is limited, the use of EHL sometimes along in combination with extracorporeal shockwave lithotripsy (ECSWL) has been reported to be effective in complete clearance of PD stones in approximately in 59-100% of cases [6,[106][107][108][109][110]. As per Komanduri et al, this data for complete clearance is hard to interpret since electrohydraulic lithotripsy was combined with decompressive surgery or ECSWL [6,111].…”

Cholangiopancreatoscopy

“…The data are hard to interpret because EHL often was combined with decompressive surgery or extracorporeal shock wave lithotripsy (ESWL). [100][101][102][103] More recently, a 10-year, single-center series on 46 patients with pancreatic stones treated with cholangioscopy by using EHL or laser lithotripsy demonstrated complete stone clearance in 70% of cases. 104 Pancreatoscopy for evaluation of intraductal papillary mucinous neoplasms and/or pancreatic duct strictures.…”

Innovations in Intraductal Endoscopy

“…However, traversing the minor papilla is more difficult due to acute angulation. 19,20 To negotiate downstream narrowed caliber ducts, dilation with a 4-mm or 6-mm balloon before attempting device introduction may be required. The inherent angulation at the relatively fixed genu may limit circumferential inspection of the area.…”

“…11 For pancreatoscopy, it is likely that higher rates of pancreatitis may be seen that are inherent to pancreatic endotherapy. 19 …”