{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T11:38:52Z","timestamp":1788262732641,"version":"build-2803163510"},"reference-count":22,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2013,10,14]],"date-time":"2013-10-14T00:00:00Z","timestamp":1381708800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Hepato Biliary Pancreat"],"published-print":{"date-parts":[[2014,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      Peroral pancreatoscopy (\n                      <jats:styled-content style=\"fixed-case\">POPS<\/jats:styled-content>\n                      ) using a mother\u2013baby endoscope system is often useful for assessment of intraductal papillary mucinous neoplasm (\n                      <jats:styled-content style=\"fixed-case\">IPMN<\/jats:styled-content>\n                      ) of the pancreas with main pancreatic duct (\n                      <jats:styled-content style=\"fixed-case\">MPD<\/jats:styled-content>\n                      ) involvement, but is not widely used for several reasons. The aim of this study was to evaluate the usefulness of the\n                      <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>\n                      py\n                      <jats:styled-content style=\"fixed-case\">G<\/jats:styled-content>\n                      lass\n                      <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>\n                      irect\n                      <jats:styled-content style=\"fixed-case\">V<\/jats:styled-content>\n                      isualization\n                      <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>\n                      ystem for assessment of\n                      <jats:styled-content style=\"fixed-case\">IPMN<\/jats:styled-content>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Seventeen patients diagnosed with possible\n                      <jats:styled-content style=\"fixed-case\">IPMN<\/jats:styled-content>\n                      with\n                      <jats:styled-content style=\"fixed-case\">MPD<\/jats:styled-content>\n                      dilation underwent peroral pancreatoscopy using the\n                      <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>\n                      py\n                      <jats:styled-content style=\"fixed-case\">G<\/jats:styled-content>\n                      lass system at our institution. The quality of visualization and the sensitivities of cytological and pathological investigations for diagnosing malignant lesions were evaluated.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Peroral pancreatoscopy was performed using the\n                      <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>\n                      py\n                      <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>\n                      cope in 12 patients and an endoscopic retrograde cholangiopancreatography (\n                      <jats:styled-content style=\"fixed-case\">ERCP<\/jats:styled-content>\n                      ) catheter in five patients. Sufficient visualization was achieved in 92% of cases using the\n                      <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>\n                      py\n                      <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>\n                      cope and 40% of cases using the\n                      <jats:styled-content style=\"fixed-case\">ERCP<\/jats:styled-content>\n                      catheter. Biopsy under direct visualization was successful in seven patients. Biopsy specimens showed adenocarcinoma in one patient, benign neoplastic epithelium in five patients, and regenerative changes in one patient; and had 25% sensitivity and 100% specificity for detecting malignancy.\n                      <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>\n                      py\n                      <jats:styled-content style=\"fixed-case\">G<\/jats:styled-content>\n                      lass pancreatoscopy with irrigation cytology had 100% sensitivity and 100% specificity for detecting malignancy.\n                      <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>\n                      py\n                      <jats:styled-content style=\"fixed-case\">G<\/jats:styled-content>\n                      lass pancreatoscopy was useful for determining the operative excision line in three patients. There were no severe procedure\u2010related adverse events.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      Peroral pancreatoscopy using the\n                      <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>\n                      py\n                      <jats:styled-content style=\"fixed-case\">G<\/jats:styled-content>\n                      lass system seems to be feasible and useful for assessment of\n                      <jats:styled-content style=\"fixed-case\">IPMN<\/jats:styled-content>\n                      with a dilated\n                      <jats:styled-content style=\"fixed-case\">MPD<\/jats:styled-content>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jhbp.44","type":"journal-article","created":{"date-parts":[[2013,10,14]],"date-time":"2013-10-14T06:12:55Z","timestamp":1381731175000},"page":"410-417","source":"Crossref","is-referenced-by-count":58,"title":["Peroral pancreatoscopy using the\n                    <scp>S<\/scp>\n                    py\n                    <scp>G<\/scp>\n                    lass system for the assessment of intraductal papillary mucinous neoplasm of the pancreas"],"prefix":"10.1002","volume":"21","author":[{"given":"Yosuke","family":"Nagayoshi","sequence":"first","affiliation":[{"name":"Department of Surgery and Oncology Graduate School of Medical Sciences Kyushu University  3\u20101\u20101 Maidashi, Higashi\u2010ku Fukuoka 812\u20108582 Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teppei","family":"Aso","sequence":"additional","affiliation":[{"name":"Department of Surgery and Oncology Graduate School of Medical Sciences Kyushu University  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