Role of per-oral pancreatoscopy in the evaluation of suspected pancreatic duct neoplasia: a 13-year U.S. single-center experience

Hajj, Ihab I. El; Brauer, Brian C.; Wani, Sachin; Fukami, Norio; Attwell, Augustin

doi:10.1016/j.gie.2016.07.040

Cited by 35 publications

(38 citation statements)

References 18 publications

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“…In 97% of patients, technical success was achieved with successful advancing of the scope to the lesion, full visualization of the lesion, and proper diagnostic maneuvering. Adverse events were observed in 12% of cases, with most patients experiencing post-procedure abdominal pain and only 4% of patients developing post-procedure pancreatitis [27]. The authors concluded that pancreatoscopy can be highly successful and should be considered in patients with difficult pancreatic pathologies.…”

Section: Spyglass For Pancreatic Pathologiesmentioning

confidence: 94%

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The Expansion of Cholangioscopy: Established and Investigational Uses of SpyGlass in Biliary and Pancreatic Disorders

Yodice

Choma²,

Tadros

2020

Diagnostics

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Direct visualization of bile and pancreatic duct pathology is proving to be beneficial in patients where previous techniques have failed. Recent advancements in technology and the development of the SpyGlass system have led to an increased use of cholangioscopy. It is already known that SpyGlass is beneficial in patients with difficult bile duct stones and indeterminate biliary lesions through the use of targeted lithotripsy and visually guided biopsy. Cholangioscopy allows the visualization of hidden stone and guide wire placement across difficult strictures and selective cannulation of the intrahepatic and cystic ducts. It is also demonstrating its utility in investigational applications such as post-liver transplant and primary sclerosing cholangitis stricture treatment, evaluation of hemobilia, and guided radiofrequency ablation of ductal tumors. In addition to having clinical utility, cholangioscopy may also be cost-effective by limiting the number of repeat procedures. Cholangioscopy overall has similar complication rates compared to other standard endoscopic retrograde cholangioscopy (ERCP) techniques, but there may be higher rates of cholangitis. This could be mitigated with prophylactic antibiotic use, and overall, cholangioscopy has similar complication rates compared to other techniques.

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Section: Spyglass For Pancreatic Pathologiesmentioning

confidence: 94%

“…Diagnostics 2020, 10, x FOR PEER REVIEW 6 of 11 patients experiencing post-procedure abdominal pain and only 4% of patients developing postprocedure pancreatitis [27]. The authors concluded that pancreatoscopy can be highly successful and should be considered in patients with difficult pancreatic pathologies.…”

Section: Spyglass For Pancreatic Pathologiesmentioning

confidence: 99%

The Expansion of Cholangioscopy: Established and Investigational Uses of SpyGlass in Biliary and Pancreatic Disorders

Yodice

Choma²,

Tadros

2020

Diagnostics

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“…They evaluated in a retrospective analysis a 13-year experience of patients who underwent pancreatoscopy to evaluate an indeterminate pancreatic duct stricture or suspected intraductal papillary mucinous neoplasms (IPMN). A final diagnosis of neoplasia was established in 42% (33/79) patients included in the study (adenocarcinoma in 12 cases and IPMN in 21) [48]. The authors reported an 87% accuracy in distinguishing malignant for benign lesions (sensitivity 87%, specificity 86%) [48].…”

Section: Diagnostic Applications Of Pancreatoscopy Pancreatic Stricturesmentioning

confidence: 97%

“…The most extensive experience reporting the use of pancreatoscopy for assessing pancreatic stenosis was recently reported by El Hajj et al [48]. They evaluated in a retrospective analysis a 13-year experience of patients who underwent pancreatoscopy to evaluate an indeterminate pancreatic duct stricture or suspected intraductal papillary mucinous neoplasms (IPMN).…”

Section: Diagnostic Applications Of Pancreatoscopy Pancreatic Stricturesmentioning

confidence: 99%

Cholangiopancreatoscopy: Expanding the Diagnostic Indications of Endoscopic Retrograde Cholangiopancreatography

Pereira

Costa-Moreira

Macedo

2020

JGLD

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Besides the adverse effects associated with endoscopic retrograde cholangiopancreatography (ERCP), indirect visualization of the biliopancreatic system through fluoroscopy has limited its diagnostic and therapeutic efficacy. Direct visualization through cholangiopancreatoscopy may overcome this limitation and allow the resolution of many dilemmas related to the diagnostic and therapeutic drawbacks of ERCP. Herein, we discuss the current indications of single-operator cholangioscopy (SOC) concerning the diagnostic interventions within the biliopancreatic system. The current role of SOC in the diagnosis of pancreatobiliary stenosis, primary sclerosing cholangitis, intraductal papillary mucinous neoplasm, and pre-surgical mapping of neoplastic lesions were reviewed. There is growing data in the literature supporting the early implementation of SOC in the diagnostic algorithm of pancreatobiliary diseases. In selected cases, this could prevent diagnostic delay and reduce the risks and costs related to repeated ERCPs. This potential characterizes SOC as safety and cost-effective.

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“…Peroral pancreatoscopy has been used sporadically for diagnosis of a number of pancreatic neoplasms, especially intraductal papillary mucinous neoplasm of the main pancreatic duct, besides ductal adenocarcinoma. The role of peroral pancreatoscopy in the evaluation of 79 patients with indeterminate pancreatic duct strictures, dilations, or with suspected or known main duct IPMN was published by El Hajj et al [126] in 2014. The technical success of POP was achieved in 97% of cases.…”

Section: Efficacy and Safety Of Cholangiopancreatoscopy (Cp)mentioning

confidence: 99%

Applications of Cholangiopancreatoscopy in Pancreaticobiliary Diseases

Sánchez-Luna¹,

Parasher²

2019

Endoscopy - Novel Techniques and Recent Advancements

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Recent advances in imaging technology provide improved direct visualization of the common bile duct (CBD) and pancreatic duct (PD) using small caliber endoscopes and thus allow a wide array of therapeutic interventions. This chapter will review the technique of cholangiopancreatoscopy (CP), indications, effectiveness, and complications as well as the current commercially available options. We will discuss various methods of diagnostic and therapeutic cholangioscopy such as intraductal tissue sampling and biopsy in patients with indeterminate biliary strictures along with its role in the management of difficult bile duct stones. Finally, we will also analyze the role of pancreatoscopy in the evaluation of suspected neoplasms of the pancreas, assessment of pancreatic duct (PD) strictures, and in the treatment of pancreatic duct stones.

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Role of per-oral pancreatoscopy in the evaluation of suspected pancreatic duct neoplasia: a 13-year U.S. single-center experience

Abstract: Background and Aims: The role of peroral pancreatoscopy (POP) in the evaluation of occult pancreatic

Cited by 35 publications

References 18 publications

The Expansion of Cholangioscopy: Established and Investigational Uses of SpyGlass in Biliary and Pancreatic Disorders

The Expansion of Cholangioscopy: Established and Investigational Uses of SpyGlass in Biliary and Pancreatic Disorders

Cholangiopancreatoscopy: Expanding the Diagnostic Indications of Endoscopic Retrograde Cholangiopancreatography

Applications of Cholangiopancreatoscopy in Pancreaticobiliary Diseases

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