Contribution of Pancreatoscopy for the diagnosis of intraductal papillary mucinous neoplasm: a case series

Abstract Text The finding of a dilatation of the main pancreatic duct (MPD) is relatively common, representing a differential diagnosis between benignity and malignancy. Suspecting malignancy often leads to consideration of a pancreatectomy, which, although it can be performed safely, carries high morbidity (50-60%) and a mortality rate of 5%. Therefore, it is crucial to accurately establish the diagnosis. We present two cases of MPD dilatation. Spyglass pancreatoscopy was performed and determined the indication for pancreatectomy. The use of pancreatoscopy in the diagnostic arsenal for MPD dilatation with suspected IPMN is highly valuable. Targeted biopsy has low sensitivity, but visual impression provides high specificity in confirming the diagnosis [1] [2] [3].

Video http://data.process.y-congress.com/ScientificProcess/Data//106/570/1428/9ca30dc7-1597-48ad-8632-0928fef0b6e9/Uploads/16849_Contribution_of%20pancreatoscopy%20ESGE%202025.mp4

 

Scroll to top

Conflicts of Interest

Authors do not have any conflict of interest to disclose.

• References

• 1 Arbhu SK, Siddiqui AA. et. al. Efficacy, Safety, and Outcomes of Endoscopic Retrograde Cholangiopancreatography With Per-Oral Pancreatoscopy: A Multicenter Experience. J Clin Gastroenterol 2017; 51 (10): e101-e105
• 2 Trindade AJ, Benias PC. et. al. Digital pancreatoscopy in the evaluation of main duct intraductal papillary mucinous neoplasm: a multicenter study. Endoscopy 2018; 50 (11): 1095-1098
• 3 ASGE Standards of Practice Committee. et. al. American Society for Gastrointestinal Endoscopy guideline on the role of endoscopy in the management of chronic pancreatitis: summary and recommendations. Gastrointest Endosc 2024; 100 (4): 584-594

Publication History

Article published online:
27 March 2025