Role of endoscopic ultrasound in the diagnosis of pancreas divisum.

Abstract:

OBJECTIVE:The published data on the accuracy of the detection of pancreas divisum by endoscopic ultrasound (EUS) is limited. In this study, we evaluate the accuracy of detection of pancreas divisum by radial EUS in patients with chronic pancreatitis. METHODS:We retrospectively evaluated patients with chronic pancreatitis who underwent EUS followed by endoscopic retrograde cholangiopancreatography (ERCP) in the last four years to identify patients with complete pancreas divisum. RESULTS:One hundred and forty six patients with chronic pancreatitis underwent EUS examination and 20 patients (13.6%) had pancreas divisum. The overall sensitivity, specificity, positive predictive value, negative predictive value and accuracy of absence of stack sign on EUS for the diagnosis of pancreas divisum were 50%, 97%, 73%, 93% and 91%, respectively and for the inability to trace pancreatic duct from the head to the body were 100%, 96%, 80%, 100% and 96%, respectively. CONCLUSION:EUS can diagnose pancreas divisum in a majority of patients. Pancreas divisum can be reliably excluded if pancreatic duct could be tracked backwards from the head to the body around the genu.

journal_name

Endosc Ultrasound

journal_title

Endoscopic ultrasound

authors

Rana SS,Bhasin DK,Sharma V,Rao C,Singh K

doi

10.7178/eus.04.003

subject

Has Abstract

pub_date

2013-01-01 00:00:00

pages

7-10

issue

1

eissn

2303-9027

issn

2226-7190

pii

EU-2-7

journal_volume

2

pub_type

杂志文章
  • Drainage of the right liver using EUS guidance.

    abstract::Hepaticogastrostomy (HGS) has been reported for the management of palliative malignant hilar stricture and involves draining the left liver as rescue therapy. For the management of this complex stenosis, another new option for draining the right liver under EUS guidance was introduced. Ten publications involving 38 pa...

    journal_title:Endoscopic ultrasound

    pub_type: 杂志文章,评审

    doi:10.4103/eus.eus_52_19

    authors: Caillol F,Rouy M,Pesenti C,Ratone JP,Giovannini M

    更新日期:2019-11-28 00:00:00

  • Extramedullary plasmacytoma mimicking pancreatic cancer: A case report and literature review.

    abstract::Pancreatic adenocarcinoma may account for more than 80% of all pancreatic neoplasms. Occasionally, other rare tumors such as lymphoma, metastatic tumor, and solid pseudopapillary neoplasm can be considered in the differential diagnosis. We report the case of an 82-year-old man with a pancreatic solid mass. This case s...

    journal_title:Endoscopic ultrasound

    pub_type:

    doi:10.4103/2303-9027.190923

    authors: Kim JH,Paik WH,Joo M,Kim JG,Kim JW,Bae WK,Kim NH,Kim KA,Lee JS

    更新日期:2017-07-01 00:00:00

  • Basic technique in endoscopic ultrasound-guided fine needle aspiration for solid lesions: What needle is the best?

    abstract::Basic technique for endoscopic ultrasound (EUS) of solid lesions has developed during 30 years of EUS, as endoscopes and accessory equipment, particularly needles, have been developed. Systematic high-quality examinations require understanding and planning. Needles used for EUS-guided fine needle aspiration (FNA) have...

    journal_title:Endoscopic ultrasound

    pub_type: 杂志文章,评审

    doi:10.4103/2303-9027.124313

    authors: Lachter J

    更新日期:2014-01-01 00:00:00

  • Efficacy of laparoscopic ultrasonography in laparoscopic resection of insulinoma.

    abstract::Insulinoma is the most common functioning islet cell tumor of the pancreas, with an annual incidence of 4 cases/1 million individuals. It is treated by surgical methods. Open surgery was once considered the standard approach for the treatment of insulinoma. However, the procedure is traumatic and requires a large inci...

    journal_title:Endoscopic ultrasound

    pub_type: 杂志文章,评审

    doi:10.4103/2303-9027.194703

    authors: Wu M,Wang H,Zhang X,Gao F,Liu P,Yu B,Qiu H,Huang G,Tan X

    更新日期:2017-05-01 00:00:00

  • Endosonography-assisted diagnosis and therapy of gastrointestinal submucosal tumors.

    abstract::Submucosal tumors (SMTs) are usually discovered fortuitously during routine endoscopy, including various non-neoplastic and neoplastic conditions. Endoscopic ultrasound (EUS) is considered to be the best imaging procedure to characterize SMTs and to determine the need for further treatment. In this review, the followi...

    journal_title:Endoscopic ultrasound

    pub_type: 杂志文章,评审

    doi:10.7178/eus.06.003

    authors: Guo J,Liu Z,Sun S,Wang S,Ge N,Liu X,Wang G,Liu W

    更新日期:2013-07-01 00:00:00

  • Solid pancreatic lesions: The choice of fine-needle aspiration-needle to optimize the diagnosis.

    abstract:INTRODUCTION:Endoscopic ultrasonography (EUS)-guided fine-needle aspiration (FNA) have a better accuracy for the detection of pancreatic tumors compared with others images modalities. We assessed if the image criteria of elastography and contrast harmonic echo-endoscopic ultrasound could help in choosing the appropriat...

    journal_title:Endoscopic ultrasound

    pub_type: 杂志文章

    doi:

    authors: Francioni E,Reimão S,Bories E,Caillol F,Pesenti C,Poizat F,Monges G,Giovannini M

    更新日期:2014-04-01 00:00:00

  • What should be known prior to performing EUS?

    abstract::Direct referral of patients for EUS - instead of preprocedural consultation with the endosonographer - has become standard practice (like for other endoscopic procedures) as it is time- and cost-effective. To ensure appropriate indications and safe examinations, the endosonographer should carefully consider what infor...

    journal_title:Endoscopic ultrasound

    pub_type: 杂志文章,评审

    doi:10.4103/eus.eus_54_18

    authors: Dietrich CF,Arcidiacono PG,Braden B,Burmeister S,Carrara S,Cui X,Di Leo M,Dong Y,Fusaroli P,Gilja OH,Healey AJ,Hocke M,Hollerbach S,Garcia JI,Ignee A,Jürgensen C,Kahaleh M,Kitano M,Kunda R,Larghi A,Möller K,Napo

    更新日期:2019-01-01 00:00:00

  • Endoscopic ultrasound-guided drainage of pancreatic pseudocysts.

    abstract::Pancreatic pseudocysts are fluid collections in the peripancreatic tissues associated with acute or chronic pancreatitis. Endoscopic ultrasound (EUS)-guided drainage has become an established indication, having better results as compared to percutaneous drainage, nonguided endoscopic drainage, or surgical drainage. Th...

    journal_title:Endoscopic ultrasound

    pub_type: 杂志文章

    doi:10.4103/2303-9027.170424

    authors: Saftoiu A,Vilmann A,Vilmann P

    更新日期:2015-10-01 00:00:00

  • Endobronchial ultrasound.

    abstract::Endobronchial ultrasound (EBUS) has emerged as a routinely performed procedure in diagnostic bronchoscopy. Extending the view beyond the airway wall, EBUS provides evaluation of tumor involvement of tracheobronchial wall and mediastinum and plays an essential role as a guidance technique for peripheral pulmonary disea...

    journal_title:Endoscopic ultrasound

    pub_type: 杂志文章,评审

    doi:10.7178/eus.02.003

    authors: Gompelmann D,Eberhardt R,Herth FJ

    更新日期:2012-07-01 00:00:00

  • Contrast-enhanced endobronchial ultrasound: Potential value of a new method.

    abstract::Endobronchial ultrasound (EBUS) has gained importance for mediastinal lymph node staging. Contrast-enhanced EBUS is so far not a discussed technique including contrast-enhanced high mechanical index (MI)-EBUS and potentially contrast-enhanced low MI-EBUS. Possible use could include characterization of mediastinal lymp...

    journal_title:Endoscopic ultrasound

    pub_type: 杂志文章,评审

    doi:10.4103/2303-9027.200215

    authors: Dietrich CF

    更新日期:2017-01-01 00:00:00

  • Primary EUS-guided biliary drainage versus ERCP drainage for the management of malignant biliary obstruction: A systematic review and meta-analysis.

    abstract::EUS-guided biliary drainage (EUS-BD) has been used as a salvage modality for relief of malignant biliary obstruction (MBO) after a failed ERCP. Multiple recent randomized controlled trials (RCTs) and observational studies have been published to assess the suitability of EUS-BD as a first-line modality for achieving pa...

    journal_title:Endoscopic ultrasound

    pub_type: 杂志文章,评审

    doi:10.4103/eus.eus_10_20

    authors: Kakked G,Salameh H,Cheesman AR,Kumta NA,Nagula S,DiMaio CJ

    更新日期:2020-09-01 00:00:00

  • Comparison between 22G aspiration and 22G biopsy needles for EUS-guided sampling of pancreatic lesions: A meta-analysis.

    abstract:Background and Objective:Robust data in favor of clear superiority of 22G fine-needle biopsy (FNB) over 22G FNA for an echoendoscopic-guided sampling of pancreatic masses are lacking. The objective of this study is to compare the diagnostic outcomes and sample adequacy of these two needles. Materials and Methods:Compu...

    journal_title:Endoscopic ultrasound

    pub_type: 杂志文章,评审

    doi:10.4103/eus.eus_4_19

    authors: Facciorusso A,Bajwa HS,Menon K,Buccino VR,Muscatiello N

    更新日期:2020-05-01 00:00:00

  • Cystic pancreatic lymphangioma diagnosed with endoscopic ultrasound-guided fine needle aspiration.

    abstract::Pancreatic lymphangiomas are rare, but benign neoplasms. Historically, the diagnoses in various case reports were mostly made after surgical resection. There are emerging data concerning the utility of endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) to differentiate it from more sinister pancreatic cysti...

    journal_title:Endoscopic ultrasound

    pub_type:

    doi:10.4103/2303-9027.204807

    authors: Hussain I,Ang TL

    更新日期:2017-03-01 00:00:00

  • Placement of lumen-apposing metal stents to drain pseudocysts and walled-off pancreatic necrosis can be safely performed on an outpatient basis: A multicenter study.

    abstract:Backgrounds and Objectives:No study on the use of lumen-apposing fully covered self-expanding metal stent (LAMS) to drain pancreatic fluid collections (PFCs) has evaluated outcomes of patients in the outpatient setting. The objective of this multicenter study was to evaluate the clinical outcomes, success rate, and adv...

    journal_title:Endoscopic ultrasound

    pub_type: 杂志文章

    doi:10.4103/eus.eus_30_17

    authors: Adler DG,Shah J,Nieto J,Binmoeller K,Bhat Y,Taylor LJ,Siddiqui AA

    更新日期:2019-01-01 00:00:00

  • The relationship between the interruption of the lower esophageal sphincter and relief of dysphagia after per-oral endoscopic myotomy for achalasia.

    abstract:Background and Objectives:We investigated the relationship between the interruption of the muscularis propria of the lower esophageal sphincter (LES) measured by EUS and the relief of dysphagia in patients with esophageal achalasia treated by per-oral endoscopic myotomy (POEM). Patients and Methods:Patients with achal...

    journal_title:Endoscopic ultrasound

    pub_type: 杂志文章

    doi:10.4103/eus.eus_30_20

    authors: Wang S,Liu X,Ge N,Wang G,Guo J,Liu W,Hu J,Sun S

    更新日期:2020-07-01 00:00:00

  • Expression of vascular endothelial growth factor and epidermal growth factor receptor in pancreatic ductal adenocarcinomas, neuroendocrine tumours and chronic pancreatitis.

    abstract:OBJECTIVE:Angiogenesis is a crucial event for pancreatic carcinogenesis, and it also plays an important role in chronic pancreatitis. The aim of our study was to evaluate the mRNA expression of vascular endothelial growth factor (VEGF) and epidermal growth factor receptor (EGFR) in chronic inflammatory or malignant pan...

    journal_title:Endoscopic ultrasound

    pub_type: 杂志文章

    doi:10.4103/2303-9027.117692

    authors: Angelescu R,Burada F,Angelescu C,Gheonea DI,Iordache S,Mixich F,Ioana M,Săftoiu A

    更新日期:2013-04-01 00:00:00

  • Evaluation of a new slim radial echoendoscope: A better option for an aging population.

    abstract:Background and Objectives:The radial echoendoscope is still widely used for the investigation of abnormalities in the gastrointestinal wall and for stone detection in the extrahepatic biliary tree. Due to aging patient population, EUS is frequently performed in fragile and elderly individuals. We aimed to compare the m...

    journal_title:Endoscopic ultrasound

    pub_type: 杂志文章

    doi:10.4103/eus.eus_3_19

    authors: Fusaroli P,Serrani M,Lisotti A

    更新日期:2019-09-01 00:00:00

  • Psychological impact of pancreatic cancer screening by EUS or magnetic resonance imaging in high-risk individuals: A systematic review.

    abstract:Background and Objectives:There is an increasing global interest in screening programs aiming to detect pancreatic cancer (PC) in an early and potentially curable stage. Concerns still remain as to whether screening would confer any survival benefit. Another approach to evaluate the benefits of the pancreatic screening...

    journal_title:Endoscopic ultrasound

    pub_type: 杂志文章,评审

    doi:10.4103/eus.eus_25_18

    authors: Cazacu IM,Luzuriaga Chavez AA,Saftoiu A,Bhutani MS

    更新日期:2019-01-01 00:00:00

  • The incremental benefit of EUS for the identification of malignancy in indeterminate extrahepatic biliary strictures: A systematic review and meta-analysis.

    abstract::This systematic review aims to assess the literature to determine the impact of EUS for diagnosing malignancy among indeterminate extrahepatic biliary strictures. A systematic review was performed using MEDLINE, EMBASE, Cochrane, and conference proceedings from inception to July 2016. Pooled results were calculated us...

    journal_title:Endoscopic ultrasound

    pub_type: 杂志文章,评审

    doi:10.4103/eus.eus_24_19

    authors: Chiang A,Theriault M,Salim M,James PD

    更新日期:2019-09-01 00:00:00

  • The role of endoscopic ultrasound in a case of lung cancer with jaundice.

    abstract::Lung cancer is one of the major causes of death in the world. Small cell carcinoma is the most aggressive type and can spread rapidly. The association of a small cell carcinoma with hepatic hilar metastasis and biliary obstruction is rare. Endoscopic ultrasound allows the aspiration of a cytology sample from adenopath...

    journal_title:Endoscopic ultrasound

    pub_type:

    doi:10.4103/2303-9027.193570

    authors: Castro-Pocas FM,Araújo TP,Ferreira ML,Saraiva MM

    更新日期:2018-07-01 00:00:00

  • Prevalence of extra-pancreatic cysts in patients with cystic pancreatic lesions detected by endoscopic ultrasound.

    abstract:BACKGROUND AND OBJECTIVES:Extra-pancreatic cysts (EPCs) are incidentally found in patients with pancreatic cystic lesions (PCLs). The aim of this study is to find the prevalence of concurrent EPC in patients with PCLs, investigate associations with neoplastic lesions, and compare the prevalence of EPC to a control popu...

    journal_title:Endoscopic ultrasound

    pub_type: 杂志文章

    doi:10.4103/2303-9027.163001

    authors: Bektas M,Krishna SG,Ross WA,Weston B,Katz MH,Fleming JB,Lee JH,Bhutani MS

    更新日期:2015-07-01 00:00:00

  • Can contrast-enhanced harmonic endosonography predict malignancy risk in gastrointestinal subepithelial tumors?

    abstract:BACKGROUND AND OBJECTIVES:Contrast-enhanced harmonic endoscopic ultrasound (CEH-EUS) is a novel technology that can identify subepithelial tumors (SETs) by detecting the degree of enhancement, but whether CEH-EUS can predict the malignancy risk of gastrointestinal stromal tumors (GISTs) remains unclear. The aim of our ...

    journal_title:Endoscopic ultrasound

    pub_type: 杂志文章

    doi:10.4103/2303-9027.195871

    authors: Park HY,Jeon SW,Lee HS,Cho CM,Bae HI,Seo AN,Kweon OK

    更新日期:2016-11-01 00:00:00

  • The impact of macroscopic on-site evaluation using filter paper in EUS-guided fine-needle biopsy.

    abstract:Background and Objectives:EUS-guided tissue acquisition with rapid on-site cytologic evaluation (ROSE) has been used to increase the diagnostic yield. However, ROSE is not available in many centers. To date, only a few studies have assessed the adequacy of histologic cores in macroscopic on-site evaluation (MOSE) durin...

    journal_title:Endoscopic ultrasound

    pub_type: 杂志文章

    doi:10.4103/eus.eus_34_19

    authors: Oh D,Seo DW,Hong SM,Song TJ,Park DH,Lee SS,Lee SK,Kim MH

    更新日期:2019-09-01 00:00:00

  • Contrast-enhanced endoscopic ultrasound.

    abstract::The European Federation of Societies for Ultrasound in Medicine and Biology (EFSUMB) introduced guidelines on the use of contrast-enhanced ultrasound (CEUS) in 2004. This EFSUMB-document focused mainly on liver applications. However, new applications extending beyond the liver were developed thereafter. Increased inte...

    journal_title:Endoscopic ultrasound

    pub_type: 杂志文章,评审

    doi:10.7178/eus.03.003

    authors: Dietrich CF,Sharma M,Hocke M

    更新日期:2012-10-01 00:00:00

  • Endoscopic ultrasound comes of age: Mature, established, creative and here to stay!

    abstract::Research in endoscopic ultrasound (EUS) is alive and kicking! This paper will present recent interesting developments in EUS based on research presented at the Digestive Disease Week (DDW) held in Chicago in 2014. Endosonographers are looking at various techniques to improve yield of fine needle aspiration and core bi...

    journal_title:Endoscopic ultrasound

    pub_type: 杂志文章

    doi:10.4103/2303-9027.138782

    authors: Bhutani MS

    更新日期:2014-07-01 00:00:00

  • Solitary pancreatic metastasis from renal cell carcinoma 6 years after nephrectomy.

    abstract::Metastatic cancer to the pancreas is rare and accounts for less than 2% of all pancreatic malignancies. Renal cell cancer, malignant melanoma, lung, colon and breast carcinoma are among the few tumors known to metastasize to the pancreas. The pancreas is a rare site of solitary metastasis, but it is often involved in ...

    journal_title:Endoscopic ultrasound

    pub_type:

    doi:10.4103/2303-9027.121248

    authors: Okasha HH,Al-Gemeie EH,Mahdy RE

    更新日期:2013-10-01 00:00:00

  • A rare cause of hemosuccus pancreaticus diagnosed with endoscopic ultrasound.

    abstract:INTRODUCTION:Hemosuccus pancreaticus (HP), hemorrhage from the papilla of Vater through the pancreatic duct (PD), is a rare cause of upper gastrointestinal bleeding. It may be caused by chronic pancreatitis, pseudoaneurism and pancreatic tumors. Only 2% of HP involves the hepatic arteries. Endoscopic ultrasound (EUS) m...

    journal_title:Endoscopic ultrasound

    pub_type: 杂志文章

    doi:

    authors: Pham K,Pedersen G,Halvorsen H,Jã Ssang D,Havre R,Dimcevski G

    更新日期:2014-04-01 00:00:00

  • Evaluation of the SharkCore® needle for EUS-guided core biopsy of pancreatic neuroendocrine tumors.

    abstract:Background and Objectives:EUS guided core biopsy was once rarely performed but is now entering mainstream practice. Neuroendocrine tumors often warrant core biopsy as sufficient tissue must be obtained to allow for special staining to ensure a correct diagnosis. Traditionally these lesions were sampled with FNA needles...

    journal_title:Endoscopic ultrasound

    pub_type: 杂志文章

    doi:10.4103/eus.eus_51_17

    authors: Witt BL,Factor RE,Chadwick BE,Caron J,Siddiqui AA,Adler DG

    更新日期:2018-09-01 00:00:00

  • Multiple pancreatic metastases from malignant melanoma: Conclusive diagnosis with endoscopic ultrasound-guided fine needle aspiration.

    abstract::Pancreatic metastases are rare, ranging from 2% to 5% of pancreatic malignancies. Differentiating a primary pancreatic malignancy from a metastasis can be difficult due to similarities on imaging findings, but is crucial to ensure proper treatment. Although transabdominal ultrasound, computed tomography, and magnetic ...

    journal_title:Endoscopic ultrasound

    pub_type:

    doi:10.4103/2303-9027.156746

    authors: Jana T,Caraway NP,Irisawa A,Bhutani MS

    更新日期:2015-04-01 00:00:00

  • Practice guidelines for endoscopic ultrasound-guided celiac plexus neurolysis.

    abstract:OBJECTIVES:The objective of guideline was to provide clear and relevant consensus statements to form a practical guideline for clinicians on the indications, optimal technique, safety and efficacy of endoscopic ultrasound guided celiac plexus neurolysis (EUS-CPN). METHODS:Six important clinical questions were determin...

    journal_title:Endoscopic ultrasound

    pub_type: 杂志文章

    doi:10.4103/eus.eus_97_17

    authors: Wyse JM,Battat R,Sun S,Saftoiu A,Siddiqui AA,Leong AT,Arturo Arias BL,Fabbri C,Adler DG,Santo E,Kalaitzakis E,Artifon E,Mishra G,Okasha HH,Poley JW,Guo J,Vila JJ,Lee LS,Sharma M,Bhutani MS,Giovannini M,Kitano M

    更新日期:2017-11-01 00:00:00