EUS in Inflammatory Diseases of the Pancreas

Romagnuolo, Joseph

doi:10.1016/b978-1-4377-0805-9.00013-3

Cited by 1 publication

(8 citation statements)

References 161 publications

(179 reference statements)

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“…24 The diagnostic yield of EUS may improve in the future with newer advances like digital image analysis. 11 EUS relies on many diagnostic criteria and interobserver differences with regard to individual features may affect the diagnostic outcome. Previous studies have shown that while there may be disparity with regards to individual features among observers, there is good agreement among them for the overall diagnosis of chronic pancreatitis.…”

Section: Discussionmentioning

confidence: 99%

“…10 Ductal criteria included dilated main pancreatic duct (>3mm in head,or>2mm in body or>1mm in tail), irregular duct margin, hyperechoic duct margin, dilated side branches and presence of stones. 10,11 Patients with five or more of the above criteria were considered to have chronic pancreatitis. 4,10 Those with three or four features were considered to have intermediate probability of chronic pancreatitis.…”

Section: Methodsmentioning

confidence: 99%

“…4,10 Those with three or four features were considered to have intermediate probability of chronic pancreatitis. 11 Patients with pancreatic stones in the setting of recurrent epigastric pain were also diagnosedto have chronic pancreatitis even if they had less than five criteria. 11 Informed consent was obtained from all the patients prior to the procedure and the procedure was performed under conscious sedation using linear orradial EUS probe (Olympus or Pentax).…”

Section: Methodsmentioning

confidence: 99%

“…11 Patients with pancreatic stones in the setting of recurrent epigastric pain were also diagnosedto have chronic pancreatitis even if they had less than five criteria. 11 Informed consent was obtained from all the patients prior to the procedure and the procedure was performed under conscious sedation using linear orradial EUS probe (Olympus or Pentax). Patients undergoing EUS within 4 weeks of an episode of acute pancreatitis were excluded as some of the EUS features of acute pancreatitis may overlap with those seen in chronic pancreatitis.…”

Section: Methodsmentioning

confidence: 99%

“…Patients undergoing EUS within 4 weeks of an episode of acute pancreatitis were excluded as some of the EUS features of acute pancreatitis may overlap with those seen in chronic pancreatitis. 11 Continuous data are presented as mean with standard deviation. Categorical data are summarised in percentages.…”

Section: Methodsmentioning

confidence: 99%

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Endoscopic Ultrasonography Reveals Occurrence of Chronic Pancreatitis in Patients with Idiopathic Recurrent Acute Pancreatitis

Kurien¹

2018

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Background: Chronic pancreatitis develops in a subgroup of patients with recurrent acute pancreatitis. Detection of chronicity helps prognostication and formulation of management plan. Endoscopic ultrasonography (EUS) may detect early stages of chronic pancreatitis and hence serve as a useful diagnostic tool. Aim: To assess the frequency of chronic pancreatitis in patients with idiopathic recurrent acute pancreatitis (IRAP) using EUS. Methods: Patients with diagnosis of IRAP over a ten year period were retrospectively included. The clinical and investigation details were recorded on a structured proforma. Details of findings on EUS were recorded and proportion of patients with chronic pancreatitis was estimated. Presence of calcification and eight other parenchymal/ductal features were assessed during EUS. Presence of calcification or five of the other eight features were required for the diagnosis of chronic pancreatitis. Results: 154 patients with IRAP were included in the study. Their mean age was 31.2 + 12.5years and 77.9% were male. Thirtyeight (24.7%) patients had definitive features of chronic pancreatitis on EUS. Another 54 (35.1%) patients with 3 or 4 criteria present were considered to have intermediate probability of chronic pancreatitis. Calcification was present in 19 patients which was not detected on transabdominal imaging (ultrasound or CT). Twenty-two patients had diabetes mellitus. Conclusion: EUS detected features of chronic pancreatitis in a quarter of patients with IRAP. Hence EUS may play an important role in management of these patients.

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Section: Discussionmentioning

confidence: 99%