Preoperative diagnosis of intraductal papillary mucinous tumors of the pancreas by endoscopic pancreatic biopsy

Hurwitz, Lyle K.; Daniels, Anthony B.; Barkin, Jamie S.; Petruff, Carol; Gaertner, Erich M.; Moses, Frank M.

doi:10.1067/mge.2001.110085

Cited by 7 publications

(1 citation statement)

References 11 publications

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“…ERCP is commonly carried out in patients with suspected intraductal papillary mucinous tumors (IPMTs) to confirm the diagnosis and assess the extent of pancreatic duct involvement, which may help guide the extent of surgical resection. Hurwitz and colleagues [23] present three cases in which the preoperative diagnosis of IPMT was made by intraductal biopsies. While findings of a diffusely dilated pancreatic duct with filling defects and a patulous papilla with mucin oozing from the orifice are fairly specific for IPMT, early stages of the disease can be difficult to confirm preoperatively.…”

Section: Pancreatic Tumorsmentioning

confidence: 99%

Therapeutic Pancreatic Endoscopy

Mergener¹,

Kozarek²

2003

Endoscopy

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The role of endoscopic retrograde cholangiopancreatography (ERCP) in the management of pancreatic diseases is continuing to evolve. This article reviews recent publications spanning a wide range of topics related to therapeutic pancreatic endoscopy: Over the last 12 months, several case series have added to the literature on the short-term and long-term effectiveness of endoscopic therapy of pseudocysts, pancreatic abscesses and fistulas. Identification of a communication between pancreatic duct and a pseudocyst has been suggested to predict response to percutaneous drainage. The importance of identifying pancreatic leaks in patients with severe pancreatitis has been stressed. In addition, endotherapy has been reported to be effective in patients with idiopathic chronic pancreatitis. Endoscopic removal of pancreatic stones after extracorporeal lithotripsy has been shown to result in long-term improvement in clinical outcomes in patients with chronic calcific pancreatitis. Other interesting publications addressed new techniques and tricks to achieve access to the difficult pancreatic duct. Finally, no review of pancreatic endotherapy would be complete without a reminder--as recently stated by a National Institutes of Health consensus panel--that there is considerable need for higher-quality and controlled trials in this and other areas of interventional endoscopy.

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Section: Pancreatic Tumorsmentioning

confidence: 99%