The Role of Pancreatoscopy in the Preoperative Evaluation of Intraductal Papillary Mucinous Tumor of the Pancreas

Abstract

Peroral pancreatoscopy is valuable in the preoperative evaluation of intraductal papillary mucinous tumor of the pancreas, especially in the localization of such tumor.

Cholangioscopy and pancreatoscopy (with videos)

“…50 In pancreatic malignancy, most studies using pancreatoscopy have been conducted in patients with intraductal papillary mucinous neoplasms (IPMNs). 54,57 Current data indicate that fiberoptic/video pancreatoscopy successfully identifies ductal lesions in 67% to 83% of patients with IPMN 55,56,58,59 (Fig. 3, Video 5, available online at www.…”

“…This diagnostic rate is comparable with that of EUS and ERCP, and is significantly better than that of percutaneous US, but less than that of IDUS. 54,56,58,60 MRCP and contrast enhanced multidetector thin-cut CT 61,62 are very useful in determining the size and extent of cystic disease, and these may demonstrate a communication between cystic lesions and the pancreatic duct. 61,62 There has been no direct comparison between the clinical yield of MRCP and ductoscopy.…”

Case report: serial percutaneous cholangioscopy with laser ablation for the management of locally recurrent biliary intraductal papillary mucinous tumor

“…Specific diagnosis and localization of IPMT via retrograde cholangioscopy and pancreatoscopy are also described. 9,13 Percutaneous transhepatic choledochoscopy for laser photocoagulation delivery to biliary malignancy was initially reported in 1987 by Classen et al 14 Meng and others 15 report the serial use of choledochoscopy for laser ablation of recurrent biliary papillomatosis. Similar to our case, laser ablation after complete endoscopic evaluation, via an established T-tube tract, proved successful in this disease process.…”

Application of per oral cholangiopancreatoscopy in pancreatobiliary diseases

“…2c,d). 25,43,47–50 Current data indicate that fiber‐optic/video pancreatoscopy successfully identifies ductal lesions in 67–83% of patients with IPMN 43,47–50 . This diagnostic rate is comparable with that of IDUS and EUS, and is significantly better than that of CT and transabdominal ultrasound 43,48,49,51 .…”