Endoscopic Retrograde Cholangiopancreatography and Manometry Findings in 1,241 Idiopathic Pancreatitis Patients

Fischer, Monika; Hassan, Ayman M. Abdel Aziz; Sipe, Brian; Fogel, Evan L.; McHenry, Lee; Sherman, Stuart; Watkins, James L.; Schmidt, Steven M.; Lazzell–Pannell, Laura; Lehman, Glen A.

doi:10.1159/000264675

Cited by 41 publications

(18 citation statements)

References 38 publications

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“…The prevalence of acute pancreatitis in surgical IPMN patients in the literature varies from 12 to 67% [5]. Acute pancreatitis demonstrated IPMNs in 25% of all IPMNs patients in the study by Lévy et al [4].…”

Section: Discussionmentioning

confidence: 96%

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A case of intraductal papillary mucinous neoplasms after recurrent acute pancreatitis

Arai

Tamada

Wada

et al. 2011

Clin J Gastroenterol

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We report a case of main pancreatic duct (MPD)-type intraductal papillary mucinous neoplasms of the pancreas (IPMNs), in whom diagnostic imaging modalities showed abnormal findings after 4 episodes of acute pancreatitis. The patient was 51 years old at his first admission for acute pancreatitis. He experienced two more episodes of acute pancreatitis, though repeated computed tomography (CT) and endoscopic retrograde cholangiopancreatography (ERCP) showed no abnormality to explain the cause of the pancreatitis. After 3½ years from his first episode of pancreatitis, CT and endoscopic ultrasonography revealed pancreatic duct dilation of the pancreas head. Seven years after the first admission, a second ERCP and intraductal ultrasonography revealed a partially dilated MPD with papillary tumors. He underwent pancreaticoduodenectomy, and the pathological diagnosis was intraductal papillary mucinous adenoma with moderate atypia. This case suggests that acute pancreatitis can precede visualized IPMNs. Therefore, acute recurrent pancreatitis with unknown etiology should be followed up for the possibility of IPMNs, in order to detect neoplastic changes in the early stage to provide a better prognosis for the patient.

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Section: Discussionmentioning

confidence: 96%

“…In our case, an oversecretion of mucin was detected by ERCP and the histological findings of the resected specimen. Fischer et al [5] identified IPMNs by ERCP in 4.2% of idiopathic pancreatitis patients. Kim et al [6] identified cystic lesions in the pancreatic duct by IDUS in 6.5% of all idiopathic recurrent pancreatitis patients.…”

Section: Discussionmentioning

confidence: 99%

A case of intraductal papillary mucinous neoplasms after recurrent acute pancreatitis

Arai

Tamada

Wada

et al. 2011

Clin J Gastroenterol

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“…Some centers perform ERCP with SOD manometry, with treatment based on manometric findings. 37,38 Other centers perform empiric biliary and/or pancreatic sphincterotomy for individuals with type 2 SOD or idiopathic recurrent AP. Others perform biliary sphincterotomy and reserve pancreatic SOD manometry for those who do not respond to biliary sphincterotomy alone.…”

Section: Pancreas Divisummentioning

confidence: 99%

The role of endoscopy in benign pancreatic disease

Chandrasekhara¹,

Chathadi²,

Acosta³

et al. 2015

Gastrointestinal Endoscopy

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“…Careful selection of patients is required to identify those who may benefit from manometry and subsequent treatment. Type I patients of pancreatic SOD, according the contemporary classification, (recurrent pancreatitis, elevated amylase or lipase, dilated pancreatic duct or delayed emptying) would be the patients where endoscopic or surgical intervention in the sphincter of Oddi, should be more successful in avoiding recurrent acute pancreatitis [39].…”

Section: Sphincter Of Oddi Dysfunctionmentioning

confidence: 99%

Etiology of acute pancreatitis

2014

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AbstractAcute pancreatitis is a common disease with a benign course in the majority of patients, but it is associated with serious morbidity, and mortality close to 20% in up to 20% of cases. The incidence of acute pancreatitis seems to be rising in western countries. About 75% of all cases are caused by gallstones or alcoholism. The relative rate of gallstones versus alcohol as etiology depends on the age and the area of enrolment. A thorough evaluation allows cause identification in another 10% of cases, leaving about 15–20% as idiopathic. The most common causes, and a growing list of less frequent and sometimes very rare and controversial etiologies, are reviewed in this article. A classification on the pathogenic mechanisms of causes of acute pancreatitis based is used in this Review. The approach, or suggested plan of investigations, to determine the etiology of acute pancreatitis, based on the most recently published Guidelines is outlined.

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Endoscopic Retrograde Cholangiopancreatography and Manometry Findings in 1,241 Idiopathic Pancreatitis Patients

Cited by 41 publications

References 38 publications

A case of intraductal papillary mucinous neoplasms after recurrent acute pancreatitis

A case of intraductal papillary mucinous neoplasms after recurrent acute pancreatitis

The role of endoscopy in benign pancreatic disease

Etiology of acute pancreatitis

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