Endoscopy 2018; 50(11): 1095-1098
DOI: 10.1055/a-0596-7374
Innovations and brief communications
© Georg Thieme Verlag KG Stuttgart · New York

Digital pancreatoscopy in the evaluation of main duct intraductal papillary mucinous neoplasm: a multicenter study

Arvind J. Trindade
1  Zucker School of Medicine at Hofstra/Northwell, Northwell Health System, Division of Gastroenterology, Department of Medicine, Long Island Jewish Medical Center, New Hyde Park, New York, United States
,
Petros C. Benias
1  Zucker School of Medicine at Hofstra/Northwell, Northwell Health System, Division of Gastroenterology, Department of Medicine, Long Island Jewish Medical Center, New Hyde Park, New York, United States
2  Icahn School of Medicine at Mount Sinai, Mount Sinai Beth Israel, New York, New York, United States
,
Praneet Kurupathi
2  Icahn School of Medicine at Mount Sinai, Mount Sinai Beth Israel, New York, New York, United States
,
Benjamin Tharian
3  Division of Gastroenterology, University of Arkansas, Little Rock, Arkansas, United States
,
Sumant Inamdar
3  Division of Gastroenterology, University of Arkansas, Little Rock, Arkansas, United States
,
Neil Sharma
4  Parkview Health System, Wayne, Indiana, United States
,
Divyesh V. Sejpal
1  Zucker School of Medicine at Hofstra/Northwell, Northwell Health System, Division of Gastroenterology, Department of Medicine, Long Island Jewish Medical Center, New Hyde Park, New York, United States
,
Ali A. Siddiqui
5  Division of Gastroenterology, Thomas Jefferson University, Philadelphia, Pennsylvania, United States
,
Douglas G. Adler
6  University of Utah School of Medicine, Division of Gastroenterology and Hepatology, Salt Lake City, Utah, United States
› Author Affiliations
Further Information

Publication History

submitted 29 November 2018

accepted after revision 19 February 2018

Publication Date:
26 April 2018 (eFirst)

Abstract

Background The aim of this study was to investigate the outcomes of digital pancreatoscopy in main duct intraductal papillary mucinous neoplasm (MD-IPMN).

Methods This was a multicenter retrospective study. Outcomes analyzed were safety, incremental pathology yield compared with previous cross-sectional/endoscopic ultrasound (EUS) imaging, and whether the surgical procedure was dictated by the pancreatoscopy.

Results A total of 31 patients were enrolled from six tertiary care centers. Overall, 42 % of cases had findings on pancreatoscopy that were not seen on cross-sectional imaging or EUS. Digital pancreatoscopy dictated the type of surgery performed in 13 patients (42 %) who underwent surgery. However, in patients with a diffusely dilated pancreatic duct (> 10 mm), the pancreatoscopy dictated the type of surgery in 77 % of cases vs. 17 % of cases in the focally dilated pancreatic duct group (10/13 vs. 3/18; P = 0.001).

Conclusion Digital pancreatoscopy should be considered in the diagnostic algorithm of MD-IPMN in patients with a diffusely dilated pancreatic duct and without any focal lesions seen on cross-sectional imaging or EUS.

Table e1 – e3