Patients With Unexplained Dilated Pancreatic Duct Have High Risk of Biliopancreatic Malignancy Detected by EUS
Autor: | Gilberto Duarte-Medrano, José M Jiménez-Gutiérrez, Gustavo Lopezarce-Ángeles, David Herrera-Mora, Alejandra Tepox-Padrón, Miguel Ángel Ramírez-Luna, Félix I. Téllez-Ávila |
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Rok vydání: | 2020 |
Předmět: |
Endoscopic ultrasound
medicine.medical_specialty Malignancy Endosonography 03 medical and health sciences 0302 clinical medicine Benign pathology hemic and lymphatic diseases Medicine Humans Prospective Studies Patient group Prospective cohort study Retrospective Studies Pancreatic duct Common bile duct medicine.diagnostic_test business.industry Pancreatic Ducts Cancer medicine.disease digestive system diseases Pancreatic Neoplasms medicine.anatomical_structure 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology Radiology business |
Zdroj: | Surgical laparoscopy, endoscopypercutaneous techniques. 31(3) |
ISSN: | 1534-4908 |
Popis: | Introduction Patients with unexplained dilated common bile duct (CBD) and/or dilated main pancreatic duct (MPD) on noninvasive abdominal imaging tests are often referred for endoscopic ultrasound (EUS) in order to rule out biliopancreatic cancer. The aim of the study was to evaluate the diagnostic yield of EUS in this patient group. Methods A prospective study was conducted. Patients with unexplained dilated CBD and/or MPD on abdominal imaging, who underwent EUS, were enrolled. Results Fifty-four patients underwent EUS (CBD dilation n=38, MPD dilation n=5 or both n=11). In 31/54 patients (57.4%), EUS revealed pathologic findings. Sixteen patients (29.6%) had EUS evidence of biliopancreatic cancer and 15 patients (27.7%) had benign pathology. Ten (62.5%) of the patients with biliopancreatic cancer had MPD dilation. MPD dilation was significantly associated with malignancy (P=0.017). Conclusion Patients with unexplained dilated MPD on noninvasive image have a high risk of biliopancreatic malignancy detected by EUS. |
Databáze: | OpenAIRE |
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