The role of diagnostic radiology in pancreatitis

Elmas, Nevra

doi:10.1016/s0720-048x(01)00297-2

Cited by 49 publications

(33 citation statements)

References 50 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Transabdominal US is able to confirm the diagnosis of advanced chronic pancreatitis, since it identifies the thinning of the pancreatic parenchyma, the irregularity of the pancreatic margins, dilatation of the main pancreatic duct and of the side branches, and endoductal calcified stones [114][115][116]. Transabdominal US is not able to depict early chronic pancreatitis, since it does not recognize parenchymal and ductal changes indicative of the early phase of chronic pancreatitis [114,[117][118][119][120][121][122][123][124][125][126][127].…”

Section: Imaging (I) Working Party: Riccardo Manfredi (Coordinator) mentioning

confidence: 99%

“…However considering medical need and availability, most likely intravenous contrast-enhanced CT is the modality that is able to assess most of the morphological signs typical of advanced chronic pancreatitis and its complications [119,127,145,[148][149][150].…”

Section: I4mentioning

confidence: 99%

“…Statement (EL 4 − RG C): CT is the technique of choice in patients with chronic pancreatitis and flare of the disease. Consensus Levels of Agreement: A+ 72.2%; A 3.6%; A− 9.3%; D− 1.9%; D 5.6%; D+ 7.4% Intravenous contrast-enhanced CT is able to confirm the diagnosis, assess severity of the flare and identify complications of the disease, addressing the same issues as in acute pancreatitis [127,131,163,164].…”

Section: I7mentioning

confidence: 99%

See 2 more Smart Citations

Italian consensus guidelines for chronic pancreatitis

Frulloni

Falconi

Gabbrielli

et al. 2010

Digestive and Liver Disease

166

112

View full text Add to dashboard Cite

This paper gives practical guidelines for diagnosis and treatment of chronic pancreatitis. Statements have been elaborated by working teams of experts, by searching for and analysing the literature, and submitted to a consensus process by using a Delphi modified procedure. The statements report recommendations on clinical and nutritional approach, assessment of pancreatic function, treatment of exocrine pancreatic failure and of secondary diabetes, treatment of pain and prevention of painful relapses. Moreover, the role of endoscopy in approaching pancreatic pain, pancreatic stones, duct narrowing and dilation, and complications was considered. Recommendations for most appropriate use of various imaging techniques and of ultrasound endoscopy are reported. Finally, a group of recommendations are addressed to the surgical treatment, with definition of right indications, timing, most appropriate procedures and techniques in different clinical conditions and targets, and clinical and functional outcomes following surgery. © 2010 Editrice Gastroenterologica Italiana S.r.l

show abstract

Section: Imaging (I) Working Party: Riccardo Manfredi (Coordinator) mentioning

confidence: 99%

Section: I4mentioning

confidence: 99%

Section: I7mentioning

confidence: 99%

See 1 more Smart Citation

Italian consensus guidelines for chronic pancreatitis

Frulloni

Falconi

Gabbrielli

et al. 2010

Digestive and Liver Disease

166

112

View full text Add to dashboard Cite

show abstract

“…The rest of the L-asparaginase treatment was omitted. Imaging techniques confirm the diagnosis of pancreatitis, and sometimes identify the cause, and also assess complications such as pseudocyst [3]. Among the most useful and frequently used are ultrasound and CT.…”

Section: To the Editormentioning

confidence: 99%

“…

…”

mentioning

confidence: 99%

Pancreatitis in a child with acute lymphoblastic leukemia after Erwinia asparaginase: Evaluation of ultrasonography and computerized tomography as diagnostic tools

Azık¹,

Kılıç²

2010

Turk J Hematol

View full text Add to dashboard Cite

Acute pancreatitisis is a well described complication of L-asparaginase therapy [1,3]. Complications include hemorrhage, pseudocyst formation, pancreatic insufficiency, sepsis, and respiratory distress due to pulmonary edema or pleural effusion [2,5]. An 8 year old boy with ALL, who was on St. Jude Total XIII-high risk continuation therapy, tolerated E-coli asparaginase treatments well until he developed anaphylaxis reaction during E-coli asparaginase administration at 8 th week of continuation therapy. According to protocol the next L-asparaginase treatment was four weeks later. We switched E-coli asparaginase to Erwinia asparaginase, and he received vincristine, and prednisone at the 12 th week of continuation treatment. One week after first Erwinia asparaginase administration the patient was admitted to hospital with vomiting, diffuse abdominal pain and decreased oral intake. Physical examination revealed a pale, ill appearing child in acute distress with a diffuse sensitivity of upper abdomen but no rebound tenderness or guarding. Laboratory findings showed an amylase level of 477 mg/dl (normal <125 mg/dl), pancreatic lipase 292 U/L (0-60 U/L), pancreatic amylase 81 U/L (17-115 U/L). The most possible diagnosis was drug induced pancreatitis. Repeated laboratory evaluation showed a gradual increase in the serum amylase to 775 mg/dl by hospital day two. On the second day of admission, ultrasonography of the abdomen showed the pancreas was diffusely enlarged and heteroechogen. Although hypoechoic texture is expected in pancreatitis, ultrasonographic evaluation was heteroechogen in our patient. On the third day of admission abdominal computed tomography (CT) study was done to explain heteroechogenity in ultrasonography. Computed tomography scanning with intravenous contrast

show abstract

Role of Imaging Methods in Diagnosing, Staging, and Detecting Complications of Chronic Pancreatitis in Clinical Practice: Should MRCP and MRI Replace ERCP and CT?

Villalba-Martín¹,

Domínguez‐Muñoz²

2004

Clinical Pancreatology

View full text Add to dashboard Cite

The role of diagnostic radiology in pancreatitis

Cited by 49 publications

References 50 publications

Italian consensus guidelines for chronic pancreatitis

Italian consensus guidelines for chronic pancreatitis

Pancreatitis in a child with acute lymphoblastic leukemia after Erwinia asparaginase: Evaluation of ultrasonography and computerized tomography as diagnostic tools

Role of Imaging Methods in Diagnosing, Staging, and Detecting Complications of Chronic Pancreatitis in Clinical Practice: Should MRCP and MRI Replace ERCP and CT?

Contact Info

Product

Resources

About