RESUMO
BACKGROUND: The aim of this study was to investigate the outcomes of digital pancreatoscopy in main duct intraductal papillary mucinous neoplasm (MD-IPMN). METHODS: This was a multicenter retrospective study. Outcomes analyzed were safety, incremental pathology yield compared with previous cross-sectional/endoscopic ultrasound (EUS) imaging, and whether the surgical procedure was dictated by the pancreatoscopy. RESULTS: A total of 31 patients were enrolled from six tertiary care centers. Overall, 42â% of cases had findings on pancreatoscopy that were not seen on cross-sectional imaging or EUS.âDigital pancreatoscopy dictated the type of surgery performed in 13 patients (42â%) who underwent surgery. However, in patients with a diffusely dilated pancreatic duct (>â10âmm), the pancreatoscopy dictated the type of surgery in 77â% of cases vs. 17â% of cases in the focally dilated pancreatic duct group (10/13 vs. 3/18; Pâ=â0.001). CONCLUSION: Digital pancreatoscopy should be considered in the diagnostic algorithm of MD-IPMN in patients with a diffusely dilated pancreatic duct and without any focal lesions seen on cross-sectional imaging or EUS.