| Secretin provocation ultrasonography in the diagnosis of papillary obstruction in pancreas divisum. | |
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MedLine Citation:
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PMID: 1910496 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The diagnostic value of secretin provoked abdominal ultrasound was studied on 34 patients with pancreas divisum and on 20 control subjects. The patients received a 1.0 unit/kg body weight dose of secretin. The degree of ductal expansion and the time required to return to the initial state were registered and these values were compared to the clinical diagnosis. The control subject's ductal diameters prior to secretin administration were 1 mm in all cases (maximum expansion 2 mm, return to the initial value within 10 minutes). The pancreas divisum patients could be placed in two groups based on their initial ductal diameter. Fourteen patients had initial ductal diameters of 2 mm or greater (A group mean +/- SD: 2.4 +/- 0.3) while 21 patients had an initial value of less than 2 mm (B group; 1.7 +/- 0.3). Following secretin administration the ductal diameter of the A group's patients increased on average +/- SD to 1.3 +/- 0.5 times the initial value and in the B group 3.2 +/- 1.1 times the initial value (p less than 0.01). In the A group the ductal diameter returned to it's initial value within 10 minutes while it took 35 minutes for the same to occur in the B group. A relationship can be observed between the clinical diagnosis, the initial ductal diameter, the degree of expansion following secretin administration and the time required to return to the initial state. |
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Authors:
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Z Tulassay; Z Jakab; A Vadàsz; E Kelemen; R Gupta |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Gastroenterologisches Journal : Organ der Gesellschaft für Gastroenterologie der DDR Volume: 51 ISSN: 0863-1743 ISO Abbreviation: Gastroenterol J Publication Date: 1991 |
Date Detail:
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Created Date: 1991-11-07 Completed Date: 1991-11-07 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8913769 Medline TA: Gastroenterol J Country: GERMANY |
Other Details:
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Languages: eng Pagination: 47-50 Citation Subset: IM |
Affiliation:
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I. Medizinische und Radiologische Klinik, Semmelweis Universität, Budapest, Ungarn. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Ampulla of Vater
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ultrasonography* Common Bile Duct Diseases / ultrasonography Female Humans Male Middle Aged Pancreas / abnormalities, pathology, ultrasonography* Pancreatic Ducts / ultrasonography Pancreatic Juice / secretion Secretin / diagnostic use* |
| Chemical | |
Reg. No./Substance:
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1393-25-5/Secretin |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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