| Standard criteria versus Rosemont classification for EUS-diagnosis of chronic pancreatitis. | |
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MedLine Citation:
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PMID: 22217346 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Aim: to study the possible differences in the final diagnosis of chronic pancreatitis by using standard classification described by Wiersema et al. and the new classification proposed recently by Rosemont.Material and methods: forty-seven patients with the diagnosis of chronic pancreatitis were included in this study. The parenchymal and ductal criteria were studied, the patients were divided in two groups for Wiersema criteria: < 4 criteria, non-diagnostic for chronic pancreatitis and> = 4 criteria, diagnosis of chronic pancreatitis. The same patients were divided in four groups according to Rosemont classification: normal pancreas, indeterminate, suggestive and consistent with chronic pancreatitis. We analyzed these data with Chisquare test reported with 95% confidence intervals (CI).Results: in patients with chronic pancreatitis the most frequent criteria observed were lobularity in 66% of cases and pancreatic duct dilatation and calcifications in 57.4% of cases each. We found a significant statistical association between the results of both classifications (p < 0.05). The highest association is found in patients with more than 4 standard criteria and definitive diagnostic of chronic pancreatitis according to Rosemont classification. In patients who have less than 4 standard criteria the diagnosis is suggestive of chronic pancreatitis by using the Rosemont classification in 27.66% (p < 0.05).Conclusion: these results show that no significant statistical differences are found for patients with > 4 criteria diagnosis by standard criteria. But 27.66% patients with less than 4 standard criteria would be suggestive according to Rosemont classification (p < 0.05). Hence, the new classification would be useful in patients with high suspicion of chronic pancreatitis with < 4 standard criteria but with more significance such as parenchymal lithiasis, lobularity or ductal calcifications. |
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Authors:
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C Jimeno-Ayllón; J I Pérez-García; C J Gómez-Ruiz; J García-Cano-Lizcano; J Morillas-Ariño; R Martínez-Fernández; L Serrano-Sánchez; A Pérez-Sola |
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Publication Detail:
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Type: JOURNAL ARTICLE |
Journal Detail:
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Title: Revista espanola de enfermedades digestivas : organo oficial de la Sociedad Espanola de Patologia Digestiva Volume: 103 ISSN: 1130-0108 ISO Abbreviation: - Publication Date: 2012 Dec |
Date Detail:
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Created Date: 2012-1-5 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9007566 Medline TA: Rev Esp Enferm Dig Country: - |
Other Details:
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Languages: ENG Pagination: 626-631 Citation Subset: - |
Vernacular Title:
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Standard criteria versus Rosemont classification for EUS-diagnosis of chronic pancreatitis. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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