Abstract：
Per-oral pancreatoscopy (POP) is a pancreas-preserving modality that allows for targeted pancreatic duct interventions, particularly in cases where standard techniques fail. POP specifically has an emerging role in the diagnosis, risk stratification, and disease extent determination of main duct intraductal papillary mucinous neoplasms (IPMNs). It has also been successfully used for laser ablation of IPMNs in poor surgical candidates, lithotripsy for complex stone disease, and laser stricturoplasty. As experience with POP increases beyond select referral center practices, further studies validating POP efficacy with long-term follow-up will help clarify when POP-guided intervention is most beneficial in relation to surgical intervention.
摘要：
经口胰管镜检查（POP）是一种保留胰腺的方式，可以进行有针对性的胰管干预，特别是在标准技术失败的情况下。特别是POP在诊断中具有新兴作用，风险分层，并确定主管导管内乳头状黏液性肿瘤（IPMNs）的疾病程度。它也已成功用于不良手术候选人的IPMNs的激光消融，复杂结石的碎石术，和激光狭窄成形术.随着POP经验的增加，超出了精选的转诊中心实践，通过长期随访验证POP疗效的进一步研究将有助于澄清POP指导干预与手术干预相比何时最有益.
