Mo1551 EUS-FNA Is Superior to ERCP Tissue Sampling in Suspected Malignant Biliary Obstruction
| Autor: | Janak N. Shah, Steve Kane, Ian M. Jaffee, Yasser M. Bhat, Kenneth F. Binmoeller, Rees G. Cameron, Frank Weilert, Yusuke Hashimoto |
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| Rok vydání: | 2013 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment Gastroenterology BILIARY PAIN Imaging Procedures Repeat Surgery Tissue sampling medicine.disease digestive system diseases Median follow-up Concomitant medicine Acute pancreatitis Radiology Nuclear Medicine and imaging Cholecystectomy Radiology business |
| Zdroj: | Gastrointestinal Endoscopy. 77:AB423 |
| ISSN: | 0016-5107 |
| DOI: | 10.1016/j.gie.2013.03.299 |
| Popis: | or both (1). None of them had concomitant CBD stone at the time of EUS. Eight patients (80%) of those with stone in the GB remnant or CDS had had open cholecystectomy, however 21 (27%) of the other 79 post-cholecystectomy status patients without GB remnant stone had had open cholecystectomy (P:0.002). Among the 10 patients with stone in GB remnant or CDS, liver enzymes were normal in 7 (70%), elevated in 2 (20%), and not available in 1 (10%) at the time of EUS. All the10 patients had several imaging procedures before EUS. In seven (70%) of them, all the previous imaging were non-diagnostic and EUS was the first imaging procedure which made the diagnosis. Six (60%) agreed to undergo repeat surgery. Five of six patients (83%) remained free of symptoms postoperatively after median follow up of 3.5 months. Conclusion: Stone in GB remnant or CDS is a frequently missed cause of biliary pain or acute pancreatitis after cholecystectomy. It should be particularly considered in those with a history of open cholecystectomy and normal liver enzymes. EUS is an important imaging procedure for making the diagnosis |
| Databáze: | OpenAIRE |
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