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

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  • Additional Information
    • Source:
      Publisher: Georg Thieme Verlag Country of Publication: Germany NLM ID: 0215166 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1438-8812 (Electronic) Linking ISSN: 0013726X NLM ISO Abbreviation: Endoscopy Subsets: MEDLINE
    • Publication Information:
      Publication: Stuttgart : Georg Thieme Verlag
      Original Publication: Stuttgart, Thieme.
    • Subject Terms:
      Endoscopy, Digestive System/*methods ; Pancreatic Ducts/*diagnostic imaging ; Pancreatic Intraductal Neoplasms/*diagnostic imaging ; Pancreatic Neoplasms/*diagnostic imaging; Adult ; Aged ; Clinical Decision-Making ; Dilatation, Pathologic/diagnostic imaging ; Endoscopy, Digestive System/adverse effects ; Endosonography ; Female ; Humans ; Male ; Middle Aged ; Pancreatic Ducts/pathology ; Pancreatic Intraductal Neoplasms/surgery ; Pancreatic Neoplasms/surgery ; Retrospective Studies
    • 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.
      Competing Interests: Douglas G. Adler: Boston Scientific
      (© Georg Thieme Verlag KG Stuttgart · New York.)
    • Publication Date:
      Date Created: 20180427 Date Completed: 20190614 Latest Revision: 20190614
    • Publication Date:
      20231215
    • Accession Number:
      10.1055/a-0596-7374
    • Accession Number:
      29698989