Use of Peroral Pancreatoscopy in the Diagnosis of Elusive Intraductal Papillary Mucinous Neoplasm With High-Grade Dysplasia

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It must be noted that POPS has a 12% adverse event rate, with

mild post-ERCP pancreatitis being the most common.7 Judicious use of POPS in the workup of IPMN should always be

practiced bearing in mind its risks and benefits. In current

clinical practice, the exact role of POPS in patients with RAP

and IPMN remains to be determined.6

In conclusion, IPMN with high-grade dysplasia may be a

cause of recurrent acute pancreatitis. This case report showed

how the use of POPS aided in early diagnosis in patients with

equivocal findings in other imaging tests. The role of direct

visualization with POPS in patients with RAP or IPMN

should be determined in future studies because it may alter

the patient’s prognosis. The procedures followed were in

accordance with the Declaration of Helsinki of the World

Medical Association.

ACG Case Reports Journal / Volume 10

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