经口胰管镜检查在导管内乳头状黏液性肿瘤及不明胰腺导管病变诊断与治疗中的应用

Peroral pancreatoscopy in the diagnosis and management of intraductal papillary mucinous neoplasia and indeterminate pancreatic duct pathology.

作者信息

Ringold Daniel A, Shah Raj J

机构信息

Division of Gastroenterology and Hepatology, University of Colorado Denver, MS F735, 1635 Aurora Court, Room AIP 2.031, Aurora, CO 80045, USA.

出版信息

Gastrointest Endosc Clin N Am. 2009 Oct;19(4):601-13. doi: 10.1016/j.giec.2009.07.002.

DOI:10.1016/j.giec.2009.07.002

PMID:19917466

Abstract

Peroral pancreatoscopy (POP) is an exciting modality for the evaluation of pancreatic diseases. It has proved efficacy in the evaluation of suspected intraductal papillary mucinous neoplasia and allows for a determination of the presence and extent of pancreatic duct involvement. When other imaging modalities are inconclusive, POP seems a useful adjunct in the evaluation of indeterminate pancreatic duct strictures and permits tissue sampling under direct vision. Despite recent advances, refinements in endoscope caliber, tip deflection, and optics are still required for more routine application in pancreatic diseases.

摘要

经口胰管镜检查（POP）是一种用于评估胰腺疾病的令人兴奋的方法。它已被证明在评估疑似导管内乳头状黏液性肿瘤方面有效，并能确定胰腺导管受累的存在和范围。当其他影像学检查方法结果不明确时，POP似乎是评估不确定的胰腺导管狭窄的有用辅助手段，并能在直视下进行组织采样。尽管最近有进展，但仍需要改进内镜的口径、尖端偏转和光学性能，以便在胰腺疾病中更常规地应用。