| The role of intraductal US in the management of idiopathic recurrent pancreatitis without a definite cause on ERCP. | |
| | |
MedLine Citation:
|
PMID: 21316049 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
BACKGROUND: The cause of pancreatitis is unknown in as many as 30% of cases of recurrent acute pancreatitis, even after ERCP. OBJECTIVE: To investigate the role of intraductal US (IDUS) for managing idiopathic recurrent pancreatitis (IRP). DESIGN: Prospective study. SETTING: Tertiary referral hospital. PATIENTS: Thirty-one patients with suspicious IRP with negative findings on ERCP. INTERVENTIONS: IDUS during ERCP. MAIN OUTCOME MEASUREMENTS: IDUS findings showing any possible cause of pancreatitis. RESULTS: IDUS revealed small bile duct stones (≤3 mm) in 5 patients (16.1%) and sludge in 3 patients (9.7%). The detection rate for a bile duct stone and sludge was significantly higher in patients with a dilated CBD than a nondilated CBD on ERCP (71.4 vs 12.5%; P < .05). Recurrent pancreatitis did not develop in 7 of 8 patients with biliary stones or sludge after an endoscopic sphincterotomy (EST). Two patients (6.5%) demonstrated a small polypoid lesion on the distal end of the pancreatic duct. One patient underwent surgery for intra-ampullary cancer, and another one underwent EST without another attack of pancreatitis. Three patients (9.7%) showed evidence of chronic pancreatitis with small pancreatic stones and/or calcifications on IDUS. LIMITATIONS: Small number of patients. IDUS results were not compared with those of conventional EUS. There was no reference standard for chronic pancreatitis as diagnosed by IDUS. CONCLUSIONS: IDUS identified a possible cause of idiopathic recurrent pancreatitis in 42% of patients with negative findings on ERCP. The IDUS-guided approach combined with ERCP and EST may be useful for decreasing recurring attacks of pancreatitis. |
| | |
Authors:
|
Hyun Su Kim; Jong Ho Moon; Hyun Jong Choi; Jong Chan Lee; Seung Hyo Han; Su Jin Hong; Tae Hoon Lee; Young Koog Cheon; Young Deok Cho; Sang-Heum Park; Moon Sung Lee |
Related Documents
:
|
884909 - Dialysis in the treatment of renal failure in patients with liver disease. 19789539 - Licorice: a sweet alternative to prevent hyperkalemia in dialysis patients? 982109 - Fantasy and self-esteem of renal dialysis patients and their spouses. 20176609 - Fibroblast growth factor-23 (fgf-23) is independently correlated to aortic calcificatio... 8355729 - Are nerve conduction studies useful for monitoring the adequacy of renal dialysis? 2402779 - Lymphocyte subpopulations in long-term dialysis patients: a case-controlled study of th... 15807679 - Primary cutaneous cryptococcal cellulitis secondary to insect bite in an immunosupresse... 11079539 - Nbi-5788, an altered mbp83-99 peptide, induces a t-helper 2-like immune response in mul... 11487459 - Antithrombotic secondary prevention after stroke. |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2011-2-10 |
Journal Detail:
|
Title: Gastrointestinal endoscopy Volume: - ISSN: 1097-6779 ISO Abbreviation: - Publication Date: 2011 Feb |
Date Detail:
|
Created Date: 2011-2-14 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0010505 Medline TA: Gastrointest Endosc Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
|
Copyright © 2011 American Society for Gastrointestinal Endoscopy. Published by Mosby, Inc. All rights reserved. |
Affiliation:
|
Digestive Disease Center, Department of Internal Medicine, Soon Chun Hyang University School of Medicine, Bucheon and Seoul, Korea. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Anastrozole single-dose protocol in women with oligo- or anovulatory infertility: results of a rand...
Next Document: Endoscopic prediction of tumor invasion depth in early gastric cancer.