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The Use of Pancreatoscopy in the Diagnosis of Intraductal Papillary Mucinous Tumor Lesions of the Pancreas  Kenjiro Yasuda, Munehiro Sakata, Moose Ueda,

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Presentation on theme: "The Use of Pancreatoscopy in the Diagnosis of Intraductal Papillary Mucinous Tumor Lesions of the Pancreas  Kenjiro Yasuda, Munehiro Sakata, Moose Ueda,"— Presentation transcript:

1 The Use of Pancreatoscopy in the Diagnosis of Intraductal Papillary Mucinous Tumor Lesions of the Pancreas  Kenjiro Yasuda, Munehiro Sakata, Moose Ueda, Koji Uno, Masatsugu Nakajima  Clinical Gastroenterology and Hepatology  Volume 3, Issue 7, Pages S53-S57 (July 2005) DOI: /S (05) Copyright © 2005 American Gastroenterological Association Terms and Conditions

2 Figure 1 Recent model of pancreatoscope.
Clinical Gastroenterology and Hepatology 2005 3, S53-S57DOI: ( /S (05) ) Copyright © 2005 American Gastroenterological Association Terms and Conditions

3 Figure 2 A case of adenoma in IPMT. (A) The endoscopic retrograde pancreatography (ERP) finding with the baby scope and cystic lesions in the pancreas. (B) PPS finding shows the protruded lesion with surrounding fish-egg-like surface. (C) Biopsy study revealed features consistent with adenoma. Clinical Gastroenterology and Hepatology 2005 3, S53-S57DOI: ( /S (05) ) Copyright © 2005 American Gastroenterological Association Terms and Conditions

4 Figure 3 A case of adenocarcinoma in IPMT. (A) ERP showed a round filling defect at the head of the pancreas. (B) PPS showed the polypoid lesion in the pancreatic duct. (C) Biopsy study showed features suggestive of adenocarcinoma. Clinical Gastroenterology and Hepatology 2005 3, S53-S57DOI: ( /S (05) ) Copyright © 2005 American Gastroenterological Association Terms and Conditions

5 Figure 4 A case of adenoma in IPMT. (A) ERP showed a cystic lesion with a dilated main pancreatic duct, and the orifice of the papilla of Vater was enlarged by hypersecretion of mucin. (B) Pancreatoscopy shows the granular lesion. (C) EUS shows a multiloculated cystic lesion with a protruded lesion (arrow). (D) IDUS shows the cystic lesion with papillary tumor (arrow, left) and a protruded lesion at the main pancreatic duct (arrow), which corresponds to the protruded lesion observed by PPS. Clinical Gastroenterology and Hepatology 2005 3, S53-S57DOI: ( /S (05) ) Copyright © 2005 American Gastroenterological Association Terms and Conditions


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