Digital single-operator pancreatoscopy for evaluation of IPMN

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 …

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Removal of large impacted pancreatic stone

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 …

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Intraoperative laparoscopic-assisted pancreatoscopy

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). …

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Pancreatoscopy for pancreatic duct stones

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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