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©The Author(s) 2026. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Jan 28, 2026; 32(4): 112635
Published online Jan 28, 2026. doi: 10.3748/wjg.v32.i4.112635
Published online Jan 28, 2026. doi: 10.3748/wjg.v32.i4.112635
Role of pancreatoscopy in the management of suspected and confirmed intraductal papillary mucinous neoplasm of the pancreas
Majd Abusharar, Somaiah Aroori, Department of Hepato-Pancreato-Biliary Surgery, Derriford Hospital, University Hospitals Plymouth NHS Trust, Plymouth PL6 8DH, United Kingdom
Christopher Barritt, Department of Upper Gastrointestinal Surgery, Royal Devon University Healthcare NHS Foundation Trust, North Devon District Hospital Raleigh Heights, Barnstaple EX31 4JB, Devon, United Kingdom
Vasileios K Mavroeidis, Departments of Transplant and Gastrointestinal Surgery, North Bristol NHS Trust, Southmead Hospital, Bristol BS10 5NB, United Kingdom
Vasileios K Mavroeidis, Department of HPB Surgery, University Hospitals Bristol and Weston NHS Foundation Trust, Bristol Royal Infirmary, Bristol BS2 8HW, United Kingdom
Co-corresponding authors: Vasileios K Mavroeidis and Somaiah Aroori.
Author contributions: Abusharar M conducted the literature search, analysis and interpretation of data and drafted the original manuscript; Barritt C assisted in conducting the analysis, drafting of the original manuscript, and provided technical input; Mavroeidis VK and Aroori S contributed equally to this work and share senior authorship, conceptualised, designed, supervised the study and made critical revisions as co-corresponding authors; all authors prepared the final draft and approved the final version.
Conflict-of-interest statement: All authors declare no conflict of interest in publishing the manuscript.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Vasileios K Mavroeidis, MD, PGDipClinEd, MSc, FRCS, FACS, FICS, FSSO, MFSTEd, MICR, Surgeon, Departments of Transplant and Gastrointestinal Surgery, North Bristol NHS Trust, Southmead Hospital, Southmead Road, Bristol BS10 5NB, United Kingdom. vasileios.mavroeidis@nhs.net
Received: August 1, 2025
Revised: November 20, 2025
Accepted: December 25, 2025
Published online: January 28, 2026
Processing time: 174 Days and 10 Hours
Revised: November 20, 2025
Accepted: December 25, 2025
Published online: January 28, 2026
Processing time: 174 Days and 10 Hours
Core Tip
Core Tip: In this mini-review, we outline the current understanding of the role pancreatoscopy plays in assisting surgical decision-making for patients with intraductal papillary mucinous neoplasms. We explore its role in both preoperative decision-making, in determining who should be operate on, and intraoperative decision-making, in deciding what operation to perform. We outline the current methods used to directly visualise the pancreatic duct of patients with suspected or confirmed intraductal papillary mucinous neoplasms and discuss the safety and utility of these procedures.