PMID: 9548687Apr 21, 1998Paper

Peroral pancreatoscopy for the diagnosis of pancreatic diseases

Pancreas
H TajiriS Yoshida

Abstract

The efficacy associated with peroral pancreatoscopy to diagnose and differentiate pancreatic diseases is herein reviewed and clarified, and problems with this modality are discussed. Three types of pancreatoscopes are presently available: (a) a thin fiberscope with a diameter of 3.3 or 4.5 mm, which has an angulation system and a forceps channel; (b) an ultrathin pancreatoscope with a diameter of 0.75 or 0.8 mm, which can be inserted via an ordinary endoscopic retrograde cholangiopancreatography (ERCP) cannula without endoscopic sphincterotomy; and (c) an ultrathin pancreatoscope combined with a catheter that has an outer diameter of 1.67 mm. Peroral pancreatoscopy facilitates the detection of small lesions of the duct in malignancy or chronic pancreatitis. In particular, it is quite useful in differentiating pancreatic cancer from chronic pancreatitis in cases with local stenosis or elevated lesions of the main pancreatic duct. Among patients with a mucus-producing tumor of the pancreas, pancreatoscopy is also very useful, especially in determining lesion extent. Despite some unresolved problems, we predict that pancreatoscopy will retain a limited or specific and definite role in diagnostic and therapeutic endoscopy for pancr...Continue Reading

Citations

Sep 30, 1999·Gastroenterology Clinics of North America·R Jakobs, J F Riemann
Jun 1, 2000·International Journal of Urology : Official Journal of the Japanese Urological Association·H IkegayaT Kitamura
Feb 11, 2005·Current Opinion in Gastroenterology·Christopher C Thompson, Peter B Kelsey
May 29, 2008·World Journal of Gastroenterology : WJG·Joel R Judah, Peter V Draganov
Mar 26, 2014·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Michael J PucciCharles J Yeo
Jan 10, 2003·Journal of Gastroenterology and Hepatology·Tadashi KodamaHisakazu Yamagishi
Jun 10, 2008·Gastrointestinal Endoscopy·Raj J ShahWilliam M Tierney
May 30, 2016·Gastrointestinal Endoscopy·UNKNOWN ASGE Technology CommitteeSubhas Banerjee
Apr 2, 2002·The American Journal of Gastroenterology·Tadashi KodamaHisakazu Yamagishi
Feb 23, 2019·World Journal of Gastrointestinal Endoscopy·Tarun KauraSaurabh Chawla

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