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. 2022 Mar 5;7(4):146-148.
doi: 10.1016/j.vgie.2022.01.006. eCollection 2022 Apr.

Pancreatoscopy-guided laser dissection of obstructing pancreatic duct stricture: pancreas-preserving endotherapy

Affiliations

Pancreatoscopy-guided laser dissection of obstructing pancreatic duct stricture: pancreas-preserving endotherapy

Emily R Jonica et al. VideoGIE. .

Abstract

Video 1The case report is presented in the video, with a description of the patient's clinical course along with a set of endoscopic interventions including the use of per-oral pancreatoscopy with holmium laser therapy for stricturoplasty and stone fragmentation.

Keywords: PD, pancreatic duct; POP, peroral pancreatoscopy.

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Figures

Figure 1
Figure 1
Index CT scan from referring hospital, demonstrating 15-mm intraductal stone in the body of the main pancreatic duct and upstream ductal dilatation (A). Parenchymal tail calcifications are also noted (B).
Figure 2
Figure 2
Fluoroscopic images (top images) and direct visualization of the stricture and stone by pancreatoscopy (bottom images) reveal marked improvement in the caliber of the pancreatic duct and a reduction in the size of the stone after peroral pancreatoscopy therapies. Preintervention images are represented in the left panel, in contrast to postintervention in the right panel.

References

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