Pancreatoscopy in the evaluation and management of pancreatic disorders

Figure 1  Fluoroscopic pancreatogram obtained during pancreatoscopy.

Figure 2  Normal pancreatic duct.

Figure 3 Intraductal papillary mucinous neoplasm. A: Villous projections from a main-duct intraductal papillary mucinous neoplasm; B: SpyBite forceps used to perform a direct biopsy of a suspected intraductal papillary mucinous neoplasm; C: Intraductal papillary mucinous neoplasm and pancreatic stones.

Figure 4  Main pancreatic duct stricture due to chronic pancreatitis.

Figure 5  Fluoroscopy showing a tortuous pancreatic duct in chronic pancreatitis.

Figure 6 Stone lithotripsy. A: Laser lithotripsy of a main pancreatic duct stone; B: Pancreatic side-branch stones; C: Electrohydraulic lithotripsy for main pancreatic duct stone fragmentation.