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Current role of endoscopic pancreatoscopy

Miller, Corey S.; Chen, Yen-I

Current Opinion in Gastroenterology: September 2018 - Volume 34 - Issue 5 - p 309–315
doi: 10.1097/MOG.0000000000000453
ENDOSCOPY: Edited by Anthony N. Kalloo

Purpose of review To provide an overview of the field of pancreatoscopy and to summarize the data informing its clinical utility.

Recent findings Regarding the technological advance of pancreatoscopy, recent studies are the first to report the use of digital, single-operator pancreatoscopy (SpyGlass DS; Boston Scientific, Natick, MA). New data on the use of preoperative pancreatoscopy offer promising results for the potential to optimize treatment of intraductal papillary mucinous neoplasms and to differentiate between benign and malignant pancreatic strictures. Finally, there has been accumulating evidence for the use of pancreatoscopy-guided lithotripsy for the management of painful chronic calcific pancreatitis.

Summary Endoscopic pancreatoscopy offers the advantage of direct visualization of the pancreatic duct, allowing for optimal macroscopic assessment, targeted tissue acquisition and guided therapies such as lithotripsy of pancreatic duct stones. The data informing some aspects remain limited, but the accumulating literature forms our understanding of the current and future role of pancreatoscopy in the management of pancreatic disease.

Division of Gastroenterology and Hepatology, McGill University Health Centre, McGill University, Montreal, Québec, Canada

Correspondence to Yen-I Chen, McGill University Health Centre- Glen Site, 1001 Decarie Blvd., D05 7161, Montreal, Québec, H4A 3J1 Canada. Tel: +1 514 934 1934, ext: 34592; e-mail:

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