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 Ultrasoundjournal_title
Endoscopic ultrasoundauthors
Rana SS,Bhasin DK,Sharma V,Rao C,Singh Kdoi
10.7178/eus.04.003subject
Has Abstractpub_date
2013-01-01 00:00:00pages
7-10issue
1eissn
2303-9027issn
2226-7190pii
EU-2-7journal_volume
2pub_type
杂志文章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
更新日期:2019-11-28 00:00:00
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
更新日期:2017-07-01 00:00:00
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
更新日期:2014-01-01 00:00:00
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
更新日期:2017-05-01 00:00:00
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
更新日期:2013-07-01 00:00:00
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:
更新日期:2014-04-01 00:00:00
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
更新日期:2019-01-01 00:00:00
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
更新日期:2015-10-01 00:00:00
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
更新日期:2012-07-01 00:00:00
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
更新日期:2017-01-01 00:00:00
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
更新日期:2020-09-01 00:00:00
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
更新日期:2020-05-01 00:00:00
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
更新日期:2017-03-01 00:00:00
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
更新日期:2019-01-01 00:00:00
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
更新日期:2020-07-01 00:00:00
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
更新日期:2013-04-01 00:00:00
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
更新日期:2019-09-01 00:00:00
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
更新日期:2019-01-01 00:00:00
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
更新日期:2019-09-01 00:00:00
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
更新日期:2018-07-01 00:00:00
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
更新日期:2015-07-01 00:00:00
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
更新日期:2016-11-01 00:00:00
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
更新日期:2019-09-01 00:00:00
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
更新日期:2012-10-01 00:00:00
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
更新日期:2014-07-01 00:00:00
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
更新日期:2013-10-01 00:00:00
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:
更新日期:2014-04-01 00:00:00
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
更新日期:2018-09-01 00:00:00
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
更新日期:2015-04-01 00:00:00
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
更新日期:2017-11-01 00:00:00