Endoscopic ultrasonography for evaluating patients with recurrent pancreatitis

Petrone, Maria Chiara; Arcidiacono, Paolo Giorgio; Testoni, Pier Alberto

doi:10.3748/wjg.14.1016

Cited by 24 publications

(19 citation statements)

References 43 publications

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“…[16][17][18]. In addition to diagnosing microlithiasis, EUS allows for the detection of congenital anatomical variants that may predispose children to pancreaticobiliary disorders and RUQ pain [18,19].…”

Section: Discussionmentioning

confidence: 99%

Microlithiasis, endoscopic ultrasound, and children: not just little gallstones in little adults

Neff¹,

Mishra²,

Fortunato³

et al. 2011

Journal of Pediatric Surgery

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Section: Discussionmentioning

confidence: 99%

Microlithiasis, endoscopic ultrasound, and children: not just little gallstones in little adults

Neff¹,

Mishra²,

Fortunato³

et al. 2011

Journal of Pediatric Surgery

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“…While not addressed in our current study, EUS has been shown to potentially identify small lesions, which may be missed on cross-sectional imaging.. 12 Additionally, EUS allows for tissue acquisition during the exam; which is of particular importance, as neoplasm obstructing the proximal pancreatic duct can lead to a ductographic finding of pseudodivisum; and these lesions are often seen only on EUS. 12,20 However, these advantages have to be tempered against the invasive nature of EUS, cost and inconvenience of sedation, which is required for EUS.…”

Section: Discussionmentioning

confidence: 99%

Sensitivity of Endoscopic Ultrasound, Multidetector Computed Tomography, and Magnetic Resonance Cholangiopancreatography in the Diagnosis of Pancreas Divisum

Kushnir¹,

Wani²,

Fowler³

et al. 2013

Pancreas

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OBJECTIVES There are limited data comparing imaging modalities in the diagnosis of pancreas divisum. We aimed to: 1. Evaluate the sensitivity of endoscopic ultrasound (EUS), magnetic resonance cholangiopancreatography (MRCP) and multi-detector computed tomography (MDCT) for pancreas divisum. 2. Assess interobserver agreement (IOA) among expert radiologists for detecting pancreas divisum on MDCT and MRCP. METHODS For this retrospective cohort study, we identified 45 consecutive patients with pancreaticobiliary symptoms and pancreas divisum established by endoscopic retrograde pancreatography (ERP) who underwent EUS and cross-sectional imaging. The control group was composed of patients without pancreas divisum who underwent ERP and cross-sectional imaging. RESULTS The sensitivity of EUS for pancreas divisum was 86.7%, significantly higher than sensitivity reported in the medical records for MDCT (15.5%) or MRCP (60%) [p<0.001 for each]. On review by expert radiologists the sensitivity of MDCT increased to 83.3% in cases where the pancreatic duct was visualized, with fair IOA (қ=0.34). Expert review of MRCPs did not identify any additional cases of pancreas divisum; IOA was moderate (қ=0.43). CONCLUSIONS EUS is a sensitive test for diagnosing pancreas divisum and is superior to MDCT and MRCP. Review of MDCT studies by expert radiologists substantially raises its sensitivity for pancreas divisum.

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“…There are many studies about the clinical significance of microlithiasis in acute pancreatitis (30)(31)(32)(33)(34)(35)(36) but there is no much information on the detection (and clinical significance) of microlithiasis in patients with suspicion of biliary pain, when the tradi-…”

Section: Introductionmentioning

confidence: 99%

Usefulness of endoscopic ultrasonography in the clinical suspicion of biliary disease

Pozo

Tabernero

Poves

et al. 2011

Rev. esp. enferm. dig.

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Endoscopic ultrasonography for evaluating patients with recurrent pancreatitis

Cited by 24 publications

References 43 publications

Microlithiasis, endoscopic ultrasound, and children: not just little gallstones in little adults

Microlithiasis, endoscopic ultrasound, and children: not just little gallstones in little adults

Sensitivity of Endoscopic Ultrasound, Multidetector Computed Tomography, and Magnetic Resonance Cholangiopancreatography in the Diagnosis of Pancreas Divisum

Usefulness of endoscopic ultrasonography in the clinical suspicion of biliary disease

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