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World J Gastrointest Endosc. Jul 16, 2025; 17(7): 107645
Published online Jul 16, 2025. doi: 10.4253/wjge.v17.i7.107645
Table 1 Practical considerations for pancreatoscopy
Practical considerations
The amount of contrast injected into the pancreatic duct does not interfere with the pancreatoscopy procedure
Intermittent fluoroscopic confirmation of the pancreatoscope's position is recommended
Maintain a collapsed duodenal lumen to reduce the amount of intraductal air
Aspirate intraluminal air to minimize the volume of fluid in the pancreatic duct
Avoid suctioning the pancreatic duct wall
Administer rectal diclofenac at the start of the procedure as prophylaxis for post-pancreatoscopy pancreatitis
Table 2 Comparison of electrohydraulic lithotripsy and laser lithotripsy
Feature
Electrohydraulic lithotripsy
Laser lithotripsy
MechanismHigh-pressure shock wavesLaser energy (e.g., holmium)
EfficacyHigh fragmentation rateHigher precision, better control
Tissue injury riskHigher due to shock wavesLower due to targeted energy
Preferred forHard, larger stonesSmaller, impacted stones
Table 3 Comparison of adverse events in pancreatoscopy and endoscopic retrograde cholangiopancreatography
Adverse event
Pancreatoscopy
Endoscopic retrograde cholangiopancreatography
Post-procedural pancreatitis4%-17%3.5%-9.7%
Cholangitis3.7%0.5%-3.0%
Bleeding3.4%0.3%-9.6%
Perforation4.3%0.08%-0.6%
Sedation-related adverse eventsNot reported2%-26%