Feasibility Study Using a New Small Electronic Pancreatoscope: Description of Findings in Chronic Pancreatitis

Abstract

PEPS proved to be a feasible new technique for diagnosing chronic pancreatitis, and it was able to detect abnormal findings more clearly than other imaging methods.

Role of per-oral pancreatoscopy in the evaluation of suspected pancreatic duct neoplasia: a 13-year U.S. single-center experience

“…The role of POP in the identification, evaluation, and sampling of occult PD lesions, 14,15,18 remains limited to case series [3][4][5][6][7][8][9][10][11][12] (Table 5). Our study expands the growing literature on this role and summarizes our largest single center study of attempted POP examinations in a heterogonous patient population with advanced or technically difficult to sample or treat pathology.…”

“…Pancreatoscopy findings in chronic pancreatitis (CP) were evaluated by Kodama et al 11 These included:…”

“…Successful procedure was defined when all 3 of the following criteria were met: (1) [3][4][5][6][7][8][9][10][11][12] and our personal experience [13][14][15] , suspected neoplastic and non-neoplastic findings were subcategorized in Table 1.…”

“…1,2 Its role in the identification, evaluation, and sampling of occult PD lesions that may not be visible by non-invasive imaging, transluminal endoscopic ultrasound (EUS), or pancreatography remains limited to case series. [3][4][5][6][7][8][9][10][11][12] The aims of this study are to: 1) evaluate the safety, efficacy, technical success, and adverse events of POP; and 2) determine the usefulness of POP for the differentiation of malignant from benign diseases of the pancreatic duct.…”

Per-oral cholangioscopy

“…The electronic baby scopes have a charge-coupled device (CCD) video chip which is mounted at the distal tip of the scope (XCHF-B200, Olympus Optical Co., Hamburg, Germany). 10,11 This scope has a vastly improved image quality but it lacks a working channel which forbids all therapeutics. A prototype electronic baby scope (Olympus XCHF-BP160F) has been developed which has an external diameter of 2.8 mm and includes a 1.2 mm working channel.…”