Document Detail


Isolated Pancreatic Tuberculosis: Are There Distinctive Endoscopic Ultrasound Features & Do They Require Biliary Stenting?
MedLine Citation:
PMID:  22037426     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND: There is - insufficient data about the appearance of isolated pancreatic tuberculosis on endoscopic ultrasound (EUS). The safety and efficacy of antitubercular therapy (ATT) in patients of pancreatic tuberculosis with cholestasis is also relatively unknown. PATIENTS & METHODS: We evaluated 6 patients of isolated pancreatic head tuberculosis retrospectively and compared their EUS findings with those of 25 patients with pancreatic head adenocarcinoma. RESULTS: There was no difference in the EUS appearance between the two diseases. The mean diameter of the common bile duct was significantly greater in patients with pancreatic adenocarcinoma. The pancreatic duct was dilated in 20/25 (80%) patients with pancreatic adenocarcinoma whereas it was dilated in only 1/6 (16.6%) patient with pancreatic tuberculosis (p<0.05). All six patients of pancreatic tuberculosis had a resolution of their cholestatic symptoms within four weeks of starting ATT alone. None of these patients required biliary stenting. CONCLUSION: None of the EUS features of a mass lesion due to pancreatic tuberculosis are distinctive. Once diagnosed, these patients can be successfully treated with ATT without needing biliary stenting.
Authors:
Surinder Singh Rana; Deepak Kumar Bhasin; Radhika Srinivasan; Santosh S; Bhagwant R Mittal; Kartar Singh
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-10-27
Journal Detail:
Title:  Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association     Volume:  -     ISSN:  1542-7714     ISO Abbreviation:  -     Publication Date:  2011 Oct 
Date Detail:
Created Date:  2011-10-31     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101160775     Medline TA:  Clin Gastroenterol Hepatol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2011. Published by Elsevier Inc.
Affiliation:
Department of Gastroenterology, Post Graduate Institute of Medical Education and Research (PGIMER), Sector 12, Chandigarh - 160012, India.
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