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Article: Endoscopic ultrasonography in pancreatitis

TitleEndoscopic ultrasonography in pancreatitis
Authors
KeywordsEndoscopy
Pancreatitis
Ultrasonography
Issue Date2000
PublisherBlackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/ASH
Citation
Annals of the College of Surgeons of Hong Kong, 2000, v. 4 n. 4, p. 145-148 How to Cite?
AbstractEndoscopic ultrasonography (EUS) is a useful imaging modality in the investigation of pancreatitis which provides a high-resolution image of the pancreas and adjacent structures. In patients with ‘idiopathic’ pancreatitis diagnosed by conventional radiologic methods, EUS may help to identify the aetiology by detecting occult pancreatic neoplasm, biliary sludge and microlithiasis. In patients with biliary pancreatitis, EUS was found to be highly sensitive in detecting choledocholithiasis. Therefore, EUS can be used to select patients with choledocholithiasis for therapeutic endoscopic retrograde cholangiopancreatography (ERCP), thus avoiding unnecessary diagnostic endoscopic intervention and the morbidity associated with ERCP in more than onehalf of patients. In addition, EUS can reliably distinguish oedematous from necrotizing acute pancreatitis, and an EUS score appears to have prognostic significance in patients with acute pancreatitis. Clinical studies also suggest that EUS is at least as sensitive as ERCP for diagnosis of chronic pancreatitis, without the risk of causing or worsening pancreatitis as in ERCP. An EUS-guided, fine-needle aspiration may be useful in differentiating pancreatic pseudocysts from neoplastic cystic lesions of the pancreas. Also, EUS-guided or assisted endoscopic drainage of a pseudocyst resulting from pancreatitis is an accepted alternative to surgery in selected patients.
Persistent Identifierhttp://hdl.handle.net/10722/84364
ISSN

 

DC FieldValueLanguage
dc.contributor.authorLiu, CLen_HK
dc.contributor.authorLo, CMen_HK
dc.contributor.authorFan, STen_HK
dc.date.accessioned2010-09-06T08:52:04Z-
dc.date.available2010-09-06T08:52:04Z-
dc.date.issued2000en_HK
dc.identifier.citationAnnals of the College of Surgeons of Hong Kong, 2000, v. 4 n. 4, p. 145-148en_HK
dc.identifier.issn1028-4001-
dc.identifier.urihttp://hdl.handle.net/10722/84364-
dc.description.abstractEndoscopic ultrasonography (EUS) is a useful imaging modality in the investigation of pancreatitis which provides a high-resolution image of the pancreas and adjacent structures. In patients with ‘idiopathic’ pancreatitis diagnosed by conventional radiologic methods, EUS may help to identify the aetiology by detecting occult pancreatic neoplasm, biliary sludge and microlithiasis. In patients with biliary pancreatitis, EUS was found to be highly sensitive in detecting choledocholithiasis. Therefore, EUS can be used to select patients with choledocholithiasis for therapeutic endoscopic retrograde cholangiopancreatography (ERCP), thus avoiding unnecessary diagnostic endoscopic intervention and the morbidity associated with ERCP in more than onehalf of patients. In addition, EUS can reliably distinguish oedematous from necrotizing acute pancreatitis, and an EUS score appears to have prognostic significance in patients with acute pancreatitis. Clinical studies also suggest that EUS is at least as sensitive as ERCP for diagnosis of chronic pancreatitis, without the risk of causing or worsening pancreatitis as in ERCP. An EUS-guided, fine-needle aspiration may be useful in differentiating pancreatic pseudocysts from neoplastic cystic lesions of the pancreas. Also, EUS-guided or assisted endoscopic drainage of a pseudocyst resulting from pancreatitis is an accepted alternative to surgery in selected patients.-
dc.languageengen_HK
dc.publisherBlackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/ASH-
dc.relation.ispartofAnnals of the College of Surgeons of Hong Kongen_HK
dc.rightsThe definitive version is available at www.blackwell-synergy.com-
dc.subjectEndoscopy-
dc.subjectPancreatitis-
dc.subjectUltrasonography-
dc.titleEndoscopic ultrasonography in pancreatitisen_HK
dc.typeArticleen_HK
dc.identifier.emailLiu, CL: clliu@hkucc.hku.hken_HK
dc.identifier.emailLo, CM: chungmlo@hkucc.hku.hken_HK
dc.identifier.emailFan, ST: stfan@hku.hken_HK
dc.identifier.authorityLo, CM=rp00412en_HK
dc.identifier.authorityFan, ST=rp00355en_HK
dc.identifier.doi10.1046/j.1442-2034.2000.00077.x-
dc.identifier.hkuros56217en_HK
dc.identifier.volume4-
dc.identifier.issue4-
dc.identifier.spage145-
dc.identifier.epage148-

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