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Current role of endoscopic pancreatoscopy
1Division of Gastroenterology and Hepatology, McGill University Health Centre, McGill University, Montreal, Québec, Canada.
Current Opinion in Gastroenterology
|May 31, 2018
Summary
Pancreatoscopy offers direct visualization of the pancreatic duct for improved diagnosis and treatment. Advances in digital pancreatoscopy and its guided therapies show promise for managing pancreatic diseases.
Area of Science:
- Gastroenterology and Hepatology
- Endoscopic Procedures
- Pancreatic Diseases
Background:
- Pancreatoscopy allows direct visualization of the pancreatic duct.
- It facilitates macroscopic assessment, targeted tissue acquisition, and guided therapies.
- The clinical utility of pancreatoscopy is evolving with accumulating evidence.
Purpose of the Study:
- To provide an overview of pancreatoscopy.
- To summarize data on its clinical utility.
- To discuss its role in managing pancreatic diseases.
Main Methods:
- Review of recent studies on pancreatoscopy.
- Focus on technological advancements like digital, single-operator pancreatoscopy (SpyGlass DS).
- Analysis of data regarding preoperative pancreatoscopy and pancreatoscopy-guided lithotripsy.
Main Results:
- Digital, single-operator pancreatoscopy (SpyGlass DS) has been reported.
- Preoperative pancreatoscopy shows potential for optimizing intraductal papillary mucinous neoplasms treatment and differentiating strictures.
- Pancreatoscopy-guided lithotripsy is evidenced for managing chronic calcific pancreatitis.
Conclusions:
- Endoscopic pancreatoscopy provides direct visualization for assessment and guided therapies.
- While data is still accumulating, pancreatoscopy is crucial for pancreatic disease management.
- Its role in optimizing treatment and differentiating lesions is promising.
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