Impact of Endoscopic Ultrasound Procedures in Various Pancreatobiliary Disorders in Indonesia Based on a Case Series in a Private Hospital
| Autor: | Laurentius A. Lesmana, Khek Yu Ho, C. Rinaldi A. Lesmana |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
Endoscopic ultrasound
Pancreatic duct Pancreas divisum medicine.medical_specialty Endoscopic retrograde cholangiopancreatography medicine.diagnostic_test Common bile duct business.industry General surgery Gastroenterology medicine.disease digestive system diseases Developing countries medicine.anatomical_structure Recurrent pancreatitis Published online: June 2015 Pancreatobiliary disorders medicine Obstructive jaundice lcsh:Diseases of the digestive system. Gastroenterology lcsh:RC799-869 Pancreas business |
| Zdroj: | Case Reports in Gastroenterology, Vol 9, Iss 2, Pp 206-214 (2015) Case Reports in Gastroenterology |
| ISSN: | 1662-0631 |
| Popis: | Background: Endoscopic retrograde cholangiopancreatography (ERCP) is a common technique for assessing the pancreas and the biliary system; however, the potential complications have raised concern among endoscopists and patients. Recently, the need of endoscopic ultrasound (EUS) as an additional tool of assessment before the ERCP procedure has been increasing. The need of EUS in developing countries is still a matter of debate regarding the cost, investment, and training. Here, we report the significant impact of EUS on several unselected interesting cases of pancreatobiliary disorders. Method: We selected several interesting cases from the patients who underwent EUS at our private hospital in Jakarta, Indonesia. The EUS procedures were performed by one experienced endosonographer and one EUS trainee who are very experienced with transabdominal ultrasound. The equipment was an Olympus JF UCT 180 EUS scope which was connected to an Aloka IPF-1701C ultrasound machine (Tokyo, Japan). Results: Five interesting cases were included from patients who underwent EUS due to pancreatobiliary disorders. The cases included recurrent pancreatitis due to pancreatic stone at the small branch that obstructed the main pancreatic duct, common bile duct (CBD) stone with insignificant duct dilatation, pancreatic head cancer with total obstruction at the distal CBD and portal vein infiltration, pancreas divisum in a young girl, and distal CBD mass that caused obstructive jaundice. Conclusions: The EUS procedure has shown a significant impact in managing patients with pancreatobiliary diseases. In most developing countries, EUS needs to be evaluated further regarding the cost, investment, and training. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|