File Download
 
Links for fulltext
(May Require Subscription)
 
Supplementary

Article: EUS for detection of occult cholelithiasis in patients with idiopathic pancreatitis
  • Basic View
  • Metadata View
  • XML View
TitleEUS for detection of occult cholelithiasis in patients with idiopathic pancreatitis
 
AuthorsLiu, CL1
Lo, CM1
Chan, JKF1
Poon, RTP1
Fan, ST1
 
Issue Date2000
 
PublisherMosby, Inc. The Journal's web site is located at http://www.elsevier.com/locate/gie
 
CitationGastrointestinal Endoscopy, 2000, v. 51 n. 1, p. 28-32 [How to Cite?]
 
AbstractBackground: The aim of this study was to evaluate the use of endoscopic ultrasonography (EUS) in detecting occult cholelithiasis and determining a probable etiology in patients classified as having idiopathic pancreatitis by conventional radiologic methods. Methods: A prospective study was performed in 89 consecutive patients with acute pancreatitis. Transcutaneous ultrasonography (US), CT, or both was performed on all patients within 24 hours of admission. Endoscopic retrograde cholangiopancreatography (ERCP) was performed in all patients with confirmed or suspected biliary pancreatitis. EUS was performed in patients classified as having idiopathic pancreatitis. Results: Cholelithiasis was identified in 64 patients (72%) by conventional radiologic methods. Eighteen patients (20%) were classified as having idiopathic pancreatitis after evaluation by US (all 18 patients), repeated US (9 patients), CT (6 patients) and ERCP (13 patients). EUS performed in these 18 patients revealed small gallbladder stones (1 to 9 mm) in 14 patients; 3 were found to have concomitant choledocholithiasis. All stones were confirmed by subsequent ERCP and cholecystectomy. The remaining 4 patients in whom no etiology was identified had no clinical or radiologic evidence of cholelithiasis at a median follow-up of 22 months. Conclusion: Cholelithiasis is detected by EUS in a large number of patients classified as having idiopathic pancreatitis by conventional radiologic examinations. With identification of a biliary cause of acute pancreatitis, treatment can be initiated early, thereby reducing the risk of recurrent pancreatitis with its associated morbidity and mortality. EUS is a valuable diagnostic modality in the management of patients with acute pancreatitis.
 
ISSN0016-5107
2013 Impact Factor: 4.900
 
ISI Accession Number IDWOS:000084767200006
 
DC FieldValue
dc.contributor.authorLiu, CL
 
dc.contributor.authorLo, CM
 
dc.contributor.authorChan, JKF
 
dc.contributor.authorPoon, RTP
 
dc.contributor.authorFan, ST
 
dc.date.accessioned2010-09-06T08:47:19Z
 
dc.date.available2010-09-06T08:47:19Z
 
dc.date.issued2000
 
dc.description.abstractBackground: The aim of this study was to evaluate the use of endoscopic ultrasonography (EUS) in detecting occult cholelithiasis and determining a probable etiology in patients classified as having idiopathic pancreatitis by conventional radiologic methods. Methods: A prospective study was performed in 89 consecutive patients with acute pancreatitis. Transcutaneous ultrasonography (US), CT, or both was performed on all patients within 24 hours of admission. Endoscopic retrograde cholangiopancreatography (ERCP) was performed in all patients with confirmed or suspected biliary pancreatitis. EUS was performed in patients classified as having idiopathic pancreatitis. Results: Cholelithiasis was identified in 64 patients (72%) by conventional radiologic methods. Eighteen patients (20%) were classified as having idiopathic pancreatitis after evaluation by US (all 18 patients), repeated US (9 patients), CT (6 patients) and ERCP (13 patients). EUS performed in these 18 patients revealed small gallbladder stones (1 to 9 mm) in 14 patients; 3 were found to have concomitant choledocholithiasis. All stones were confirmed by subsequent ERCP and cholecystectomy. The remaining 4 patients in whom no etiology was identified had no clinical or radiologic evidence of cholelithiasis at a median follow-up of 22 months. Conclusion: Cholelithiasis is detected by EUS in a large number of patients classified as having idiopathic pancreatitis by conventional radiologic examinations. With identification of a biliary cause of acute pancreatitis, treatment can be initiated early, thereby reducing the risk of recurrent pancreatitis with its associated morbidity and mortality. EUS is a valuable diagnostic modality in the management of patients with acute pancreatitis.
 
dc.description.natureLink_to_subscribed_fulltext
 
dc.identifier.citationGastrointestinal Endoscopy, 2000, v. 51 n. 1, p. 28-32 [How to Cite?]
 
dc.identifier.epage32
 
dc.identifier.hkuros48007
 
dc.identifier.isiWOS:000084767200006
 
dc.identifier.issn0016-5107
2013 Impact Factor: 4.900
 
dc.identifier.issue1
 
dc.identifier.openurl
 
dc.identifier.pmid10625791
 
dc.identifier.scopuseid_2-s2.0-0033971750
 
dc.identifier.spage28
 
dc.identifier.urihttp://hdl.handle.net/10722/83965
 
dc.identifier.volume51
 
dc.languageeng
 
dc.publisherMosby, Inc. The Journal's web site is located at http://www.elsevier.com/locate/gie
 
dc.publisher.placeUnited States
 
dc.relation.ispartofGastrointestinal Endoscopy
 
dc.rightsGastrointestinal Endoscopy. Copyright © Mosby, Inc.
 
dc.titleEUS for detection of occult cholelithiasis in patients with idiopathic pancreatitis
 
dc.typeArticle
 
<?xml encoding="utf-8" version="1.0"?>
<item><contributor.author>Liu, CL</contributor.author>
<contributor.author>Lo, CM</contributor.author>
<contributor.author>Chan, JKF</contributor.author>
<contributor.author>Poon, RTP</contributor.author>
<contributor.author>Fan, ST</contributor.author>
<date.accessioned>2010-09-06T08:47:19Z</date.accessioned>
<date.available>2010-09-06T08:47:19Z</date.available>
<date.issued>2000</date.issued>
<identifier.citation>Gastrointestinal Endoscopy, 2000, v. 51 n. 1, p. 28-32</identifier.citation>
<identifier.issn>0016-5107</identifier.issn>
<identifier.uri>http://hdl.handle.net/10722/83965</identifier.uri>
<description.abstract>Background: The aim of this study was to evaluate the use of endoscopic ultrasonography (EUS) in detecting occult cholelithiasis and determining a probable etiology in patients classified as having idiopathic pancreatitis by conventional radiologic methods. Methods: A prospective study was performed in 89 consecutive patients with acute pancreatitis. Transcutaneous ultrasonography (US), CT, or both was performed on all patients within 24 hours of admission. Endoscopic retrograde cholangiopancreatography (ERCP) was performed in all patients with confirmed or suspected biliary pancreatitis. EUS was performed in patients classified as having idiopathic pancreatitis. Results: Cholelithiasis was identified in 64 patients (72%) by conventional radiologic methods. Eighteen patients (20%) were classified as having idiopathic pancreatitis after evaluation by US (all 18 patients), repeated US (9 patients), CT (6 patients) and ERCP (13 patients). EUS performed in these 18 patients revealed small gallbladder stones (1 to 9 mm) in 14 patients; 3 were found to have concomitant choledocholithiasis. All stones were confirmed by subsequent ERCP and cholecystectomy. The remaining 4 patients in whom no etiology was identified had no clinical or radiologic evidence of cholelithiasis at a median follow-up of 22 months. Conclusion: Cholelithiasis is detected by EUS in a large number of patients classified as having idiopathic pancreatitis by conventional radiologic examinations. With identification of a biliary cause of acute pancreatitis, treatment can be initiated early, thereby reducing the risk of recurrent pancreatitis with its associated morbidity and mortality. EUS is a valuable diagnostic modality in the management of patients with acute pancreatitis.</description.abstract>
<language>eng</language>
<publisher>Mosby, Inc. The Journal&apos;s web site is located at http://www.elsevier.com/locate/gie</publisher>
<relation.ispartof>Gastrointestinal Endoscopy</relation.ispartof>
<rights>Gastrointestinal Endoscopy. Copyright &#169; Mosby, Inc.</rights>
<title>EUS for detection of occult cholelithiasis in patients with idiopathic pancreatitis</title>
<type>Article</type>
<identifier.openurl>http://library.hku.hk:4550/resserv?sid=HKU:IR&amp;issn=0016-5107&amp;volume=51&amp;spage=28&amp;epage=32&amp;date=2000&amp;atitle=EUS+for+detection+of+occult+cholelithiasis+in+patients+with+idiopathic+pancreatitis</identifier.openurl>
<description.nature>Link_to_subscribed_fulltext</description.nature>
<identifier.pmid>10625791</identifier.pmid>
<identifier.scopus>eid_2-s2.0-0033971750</identifier.scopus>
<identifier.hkuros>48007</identifier.hkuros>
<identifier.volume>51</identifier.volume>
<identifier.issue>1</identifier.issue>
<identifier.spage>28</identifier.spage>
<identifier.epage>32</identifier.epage>
<identifier.isi>WOS:000084767200006</identifier.isi>
<publisher.place>United States</publisher.place>
</item>
Author Affiliations
  1. The University of Hong Kong