Improving Technology Permits Accurate Diagnosis and Localization of Main Duct IPMN

      Intraductal papillary mucinous producing neoplasms (IPMN) involving the main pancreatic duct are highly premalignant and warrant surgery in good surgical candidates. Accurate diagnosis and localization of the extent of duct involvement can guide surgery to minimize the amount of gland removed and avoid positive resection margins. To date, cross sectional imaging, ERCP pancreatograms and EUS have not been completely accurate in the diagnosis or for pre-operative planning. 10Fr “baby scopes” have been used to perform pancreatoscopy but few reports are available as to their value and safety in this setting. Recent development of higher resolution endoscopes should permit more accurate pancreatoscopy. This video series of three cases of main duct IPMN compares the current and future technologies for pancreatoscopy.
      To read this article in full you will need to make a payment


      Subscribe to Gastrointestinal Endoscopy
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect