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Pancreatoscopy: Techniques and Innovations

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Gastrointestinal and Pancreatico-Biliary Diseases: Advanced Diagnostic and Therapeutic Endoscopy

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Abstract

In this chapter, techniques and innovations of peroral pancreatoscopy are reviewed focusing on the traditional “mother-baby” method using video pancreatoscopes and recent single-operator cholangiopancreatoscopy. A new video pancreatoscope has been recently developed with refinement of the optical performance and improvement of the durability. It enables the more detailed narrow-band imaging (NBI) examination which further enhances diagnostic capability. Single-operator pancreatoscopy using the SpyGlass system has simplified direct visualization of the pancreatic duct and has been applied in endotherapy for pancreatic duct stones. Further refinement in endoscopic caliber, tip deflection, and irrigation system, as well as the optical resolution, is required for more routine application in pancreatic diseases.

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Author information

Authors and Affiliations

  1. Department of Gastroenterology, Kobe Central Hospital, Kobe, Japan

    Tatsuya Koshitani

  2. Department of Gastroenterology, Kyoto Shimogamo Hospital, Kyoto, Japan

    Tadashi Kodama

Authors
  1. Tatsuya Koshitani
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  2. Tadashi Kodama
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Editor information

Editors and Affiliations

  1. Gastrointestinal Endoscopy Unit, Vita-Salute San Raffaele University, MILANO, Milano, Italy

    Pier Alberto Testoni

  2. Digestive Diseases Center, Showa University Hospital, Tokyo, Japan

    Haruhiro Inoue

  3. Div. of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, FL, USA

    Michael B. Wallace

Section Editor information

  1. Gastrointestinal Endoscopy Unit, Vita‐Salute San Raffaele University, Milan, Italy

    Pier Alberto Testoni

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Fig6_Video (MP4 51345 kb)

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Koshitani, T., Kodama, T. (2020). Pancreatoscopy: Techniques and Innovations. In: Testoni, P.A., Inoue, H., Wallace, M.B. (eds) Gastrointestinal and Pancreatico-Biliary Diseases: Advanced Diagnostic and Therapeutic Endoscopy. Springer, Cham. https://doi.org/10.1007/978-3-030-29964-4_74-1

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  • DOI: https://doi.org/10.1007/978-3-030-29964-4_74-1

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-29964-4

  • Online ISBN: 978-3-030-29964-4

  • eBook Packages: Springer Reference MedicineReference Module Medicine

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