Prospective evaluation of yield of endoscopic ultrasonography in the etiological diagnosis of 'idiopathic' acute pancreatitis
| Autor: | Ragesh Babu Thandassery, Randhir Sud, Chitranshu Vashishtha, Amit Bhasin, Narendra S. Choudhary, Rinkesh Kumar Bansal, Sumit Bhatia, Rajiv Ranjan Singh, Mukesh Nasa, Vinit Shah, Rajesh Puri, Suraj Bhagat, Smurti R. Misra |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Endoscopic ultrasound
medicine.medical_specialty medicine.medical_treatment Gastroenterology idiopathic acute pancreatitis 03 medical and health sciences 0302 clinical medicine Pancreatic tumor Internal medicine medicine lcsh:RC799-869 General Environmental Science Magnetic resonance cholangiopancreatography microlithiasis medicine.diagnostic_test Common bile duct business.industry Gallbladder medicine.disease digestive system diseases medicine.anatomical_structure 030220 oncology & carcinogenesis endoscopic ultrasound Pancreatitis Acute pancreatitis 030211 gastroenterology & hepatology Cholecystectomy lcsh:Diseases of the digestive system. Gastroenterology Radiology business |
| Zdroj: | Journal of Digestive Endoscopy, Vol 07, Iss 04, Pp 133-136 (2016) |
| ISSN: | 0976-5050 0976-5042 |
| DOI: | 10.4103/0976-5042.195725 |
| Popis: | Background: Etiology of acute pancreatitis (AP) remains idiopathic in 30% of patients. Endoscopic ultrasound (EUS) has been shown to increase the diagnostic yield in patients with idiopathic AP (IAP). Aim: The aim of this study was to evaluate the role of EUS in achieving etiological diagnosis in patients with IAP. Materials and Methods: Consecutive 192 patients with IAP were evaluated prospectively with EUS over a period of 2 years. Patients who had no etiological diagnosis for AP after detailed history, clinical examination, laboratory investigations, and magnetic resonance cholangiopancreatography were included in the study. Results: The mean age of patients was 34.6 ± 12 and male:female ratio was 2.1:1. Of these, 135 patients had gallbladder intact (Group A) and 57 patients had undergone cholecystectomy (Group B). In Group A, EUS identified a possible cause in 79 (58.5%) patients; microlithiasis (n = 48), chronic pancreatitis (CP) (n = 23), common bile duct (CBD) and gallbladder stone (n = 3), pancreatic divisum (n = 3), small pancreatic tumor (n = 1), and anomalous pancreaticobiliary junction (n = 1). In Group B, EUS yielded diagnosis in 28 (49.1%) patients; CP (n = 22), ascariasis (n = 3), CBD stone (n = 2), and pancreatic divisum (n = 1). Overall EUS helped in achieving etiological diagnosis in 107 (55.1%) of patients with IAP. The presence of intact gallbladder showed a tendency for increased diagnostic yield (P = 0.06). Conclusion: EUS is a useful modality to establish the diagnosis in IAP and this technique should be incorporated in the evaluation of IAP. |
| Databáze: | OpenAIRE |
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