Post written by Vikas Sengar, MD, DM, Alok Gupta, MD, DM, and Arun Khanduri, MD, DM, from the Department of Gastroenterology, Medihelp Hospital, Kanpur, India. As gastroenterologists practicing in India, we frequently encounter patients with worms in the gut. They may be as tiny as pinworms and as huge as Taenia (tapeworms). They suck blood and food materials and sometimes block the …
Continue reading Pancreatoscopy-assisted removal of Ascaris from main pancreatic duct
Post written by Kambiz Kadkhodayan, MD, from the Center for Interventional Endoscopy, AdventHealth, Orlando, Florida, USA. Main duct—type intraductal pancreatic mucinous neoplasms (IPMNs) present a diagnostic and management challenge, requiring careful evaluation to accurately determine the extent of the disease and guide treatment decisions. Preoperative or intraoperative pancreatoscopy proves to be invaluable when assessing the extent …
Post written by Jorge D. Machicado, MD, MPH, from the Division of Gastroenterology and Hepatology, University of Michigan, Ann Arbor, Michigan, USA. In this video, we describe a case of a guidewire that fractured in the pancreatic duct during ERCP and different tools used for its successful removal. This occurred during attempts at placing a plastic …
Continue reading Successful retrieval of a retained fractured ERCP guidewire in the pancreatic duct
Post written by Samuel Han, MD, MS, from The Ohio State University Wexner Medical Center, Columbus, Ohio, USA. We describe a case of pancreatoscopy-guided removal of a pancreatic duct stone. As electrohydraulic lithotripsy (EHL) was unsuccessful in fragmenting the large pancreatic duct stone, we used a cholangiopancreatoscopy-specific basket device to capture the stone. During removal of …
Post written by Emily R. Jonica, MD, from the Division of Gastroenterology and Hepatology, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA. In our video, we showcase the use of per-oral pancreatoscopy (POP) with holmium laser therapy during ERCP to address a nontraversable severe stricture and upstream large main pancreatic duct (MPD) stone in …
Post written by David Albers, MD, from the Department of Gastroenterology, Elisabeth-Krankenhaus Essen, academic teaching hospital of the University of Duisburg-Essen. Main-duct-IPMN and mixed-type-IPMN are frequently associated with malignancy and usually leaded to surgery; however, branch-duct-IPMNs biologically behave more indolent. Prediction of malignancy is a crucial point to distinguish between surgical therapy and conservative management …
Continue reading Digital single-operator pancreatoscopy for evaluation of IPMN
Chang-Il Kwon, MD, and Stuart Sherman, MD, from the Division of Gastroenterology/Hepatology, Indiana University School of Medicine, in Indianapolis, Indiana, USA present this VideoGIE case, "Large impacted pancreatic stone removed with single-operator pancreatoscopy and electrohydraulic lithotripsy." In patients with obstructive chronic calcific pancreatitis, endoscopic decompression of the main pancreatic duct with stone removal is an …
Toufic Kachaamy, MD and Rahul Pannala, MD present this case from the VideoGIE section "Intraoperative laparoscopic-assisted pancreatoscopy and its role in differentiating main duct intraductal papillary mucinous neoplasm from chronic pancreatitis." This case describes the multidisciplinary management of a patient with a severely dilated pancreatic duct suspicious for main duct intraductal papillary mucinous neoplasm (IPMN). …
Continue reading Intraoperative laparoscopic-assisted pancreatoscopy
Douglas G. Adler, MD, FASGE from the University of Utah School of Medicine, Gastroenterology and Hepatology, presents this video case titled "Pancreatoscopy for Pancreatic Duct Stones." The video demonstrates the case of a man with visualized pancreatic duct stones on a CT scan that were discovered during an evaluation for pancreatic-type pain. Standard ERCP techniques …
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