Ardengh JC, Taglieri E, Ardengh AO, Almeida AF, Surjan RC, Makdissi F, Machado MA

Endoscopy

Intraoperative SpyGlass to determine extension of pancreatic resection in main duct intraductal papillary mucinous neoplasm associated with pancreas

The International Association of Pancreatology recommends that main duct intraductal papillary mucinous neoplasm (IPMN) be treated with partial pancreatectomy if surgical margins are negative for high-grade dysplasia (HGD) and invasive carcinoma, avoiding total pancreatectomy. However, it is difficult to determine the exact margins of resection during duodenopancreatectomy for main duct IPMN. The latest guidelines
recommend SpyGlass to obtain precise measures of margin extension before surgery.