Abstract:
:Endoscopic ultrasonography (EUS) was compared to ultrasonography (US) and CT scan (CT) in order to evaluate its role in the diagnosis and the locoregional spread assessment of pancreatic cancer. Sixty-four patients suspected of pancreatic cancer were studied prospectively, and the results of imaging techniques were compared to histology and surgical exploration. There were 49 cases of pancreatic adenocarcinoma, 11 of pancreatitis, 2 of common bile duct carcinoma, 1 lymphoma and 1 hepatocellular carcinoma with peripancreatic metastatic lymph nodes. EUS was significantly more accurate (91%) than CT (66%) and US (64%) for diagnosis of pancreatic cancer. EUS was able to image all 7 cancers less than 25 mm in diameter, US and CT only one. There were 4 false positives with EUS which were all cases of pseudotumorous pancreatitis. For detecting lymph node involvement, EUS was significantly more sensitive (62%) and accurate (74%) than US (8% and 37%) and CT (19% and 42%), respectively. Invaded lymph nodes adjacent to large tumors and micrometastatic involvement were responsible for this lack of sensitivity. EUS was significantly more sensitive (100%) than CT (71%) and US (17%) for detecting venous involvement. The specificity of EUS was lower (67%) because of duodenal bulb stenosis and large tumors. In conclusion, this prospective and comparative study confirms that EUS is an accurate tool for diagnosis and locoregional spread assessment of pancreatic cancer when performed in a reference center. EUS is of particular interest for small tumours. However, EUS does not enable differentiation of pseudotumorous pancreatitis from adenocarcinoma.
journal_name
Endoscopyjournal_title
Endoscopyauthors
Palazzo L,Roseau G,Gayet B,Vilgrain V,Belghiti J,Fékéte F,Paolaggi JAdoi
10.1055/s-2007-1010273subject
Has Abstractpub_date
1993-02-01 00:00:00pages
143-50issue
2eissn
0013-726Xissn
1438-8812journal_volume
25pub_type
杂志文章相关文献
ENDOSCOPY文献大全abstract:BACKGROUND AND STUDY AIMS:This was to determine whether intervention based on additional capnographic monitoring reduces the incidence of hypoxemia during midazolam and propofol sedation for endoscopic retrograde cholangiopancreatography (ERCP). METHODS:Patients (American Society of Anesthesiologists [ASA] I – IV) sch...
journal_title:Endoscopy
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1055/s-0034-1393117
更新日期:2016-01-01 00:00:00
abstract::Innovation everywhere for everybody - this is the way we can summarize the 2014 Digestive Disease Week, which was held in Chicago, Illinois, last May. Many sessions introduced new innovative materials and concepts. From the robot of the future to the simplest ideas, the congress was fertile and sometimes full of surpr...
journal_title:Endoscopy
pub_type: 杂志文章,评审
doi:10.1055/s-0034-1377510
更新日期:2014-09-01 00:00:00
abstract:BACKGROUND AND AIMS:Differential diagnosis between non-neoplastic and neoplastic lesions is very important at colonoscopy, since removal or biopsy of non-neoplastic polyps wastes time and resources. We therefore conducted a prospective study to examine whether indigo carmine dye spraying with and without magnification ...
journal_title:Endoscopy
pub_type: 临床试验,杂志文章
doi:10.1055/s-2004-826039
更新日期:2004-12-01 00:00:00
abstract::A low risk procedure for dilation of esophageal strictures is peroral bougienage under direct endoscopic vision with a flexible fiberscope. First the stricture is inspected using the foreward lens of the fiberscope, and then dilated with conventional bougies according to its nature and size under direct visual control...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-0028-1098518
更新日期:1977-11-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:Transluminal closure is fundamental to the safe introduction of natural orifice transluminal endoscopic surgery (NOTES) into humans. Suture, staples, and clips have been used. We aimed to evaluate the acute strength of various gastrotomy and colotomy closure techniques in an ex vivo porcine mo...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-995691
更新日期:2008-05-01 00:00:00
abstract::A new method of intragastral disintegration of big blood coagula by mechanical waves is described. Intragastral application of ultrasound was disappointing. A flexural electromagnetic resonator was brought up for clinical trial and showed an effective intragastral thrombotripsy. Even other substances like tablets, foo...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-0028-1098254
更新日期:1978-02-01 00:00:00
abstract::Endoscopic biliary stenting is the most common method of treating obstructive jaundice. We present a new technique of biliary drainage using endoscopic ultrasound (EUS) and EUS-guided puncture of the common bile duct (CBD). A 56-year-old man with obstructive jaundice was referred for EUS and endoscopic retrograde chol...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2001-17324
更新日期:2001-10-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:Primary sclerosing cholangitis (PSC) is associated with the development of cholangiocarcinoma in up to 10 % of patients. Cholangiography or endoscopic tissue sampling does not reliably distinguish between cholangiocarcinoma and a benign dominant bile duct stenosis. The aim of the present study...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2006-925257
更新日期:2006-07-01 00:00:00
abstract::With the aid of a Q-switched Nd:YAG laser with energy transmission via a flexible glass fiber, it proves possible under laboratory conditions, to destroy gallstones reliably and reproducibly. Lithotripsy is effected mechanically via a laser-induced local shockwave. ...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1018340
更新日期:1986-05-01 00:00:00
abstract:BACKGROUND AND STUDY AIM:The identification of factors which increase the risk of acute pancreatitis, the most common and most severe complication of endoscopic retrograde cholangiopancreatography (ERCP), is of considerable importance. However, in four large prospective studies, the reported incidence of identified ris...
journal_title:Endoscopy
pub_type: 杂志文章,meta分析
doi:10.1055/s-2003-42614
更新日期:2003-10-01 00:00:00
abstract::Flunitrazepam or diazepam with atropine and a combination of phenoperidine, droperidol and cyclizine (neuroleptanalgesia) were compared as premedication in three groups of 25 patients undergoing routine upper gastrointestinal endoscopy. Drug doses were titrated carefully against response and all three regimes were fou...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-0028-1098290
更新日期:1978-08-01 00:00:00
abstract:BACKGROUND AND AIM:High-grade atypia demonstrated by endocytoscopy may be a key criterion for the diagnosis of gastric cancer. We therefore sought to verify whether endocytoscopic atypia can provide satisfactory levels of diagnostic accuracy and concordance among trainee and expert endoscopists. METHOD:A total of 100 ...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-0034-1377524
更新日期:2014-10-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:Endoscopic sphincterotomy is not without risks, and is also ineffective in about half of patients with type III sphincter of Oddi dysfunction (SOD), i.e. those without clinical evidence of biliary obstruction (normal liver tests, normal bile duct diameter, and regular drainage time at endoscop...
journal_title:Endoscopy
pub_type: 临床试验,杂志文章
doi:10.1055/s-2007-1001392
更新日期:1998-10-01 00:00:00
abstract::One of the accepted complications of colonoscopy is perforation. This is known to occur in greater frequency in patients having undergone previous pelvic or colonic surgery, as well as patients suffering from diverticulosis. A case is presented of colonic perforation during diagnostic examination in an area of adhesio...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-0028-1098368
更新日期:1976-02-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:In pancreas divisum (PD), endoscopic drainage of the minor papilla is beneficial for patients presenting with acute recurrent pancreatitis, but in cases of chronic pancreatitis, surgery is claimed to be indicated. The aim of this study was to evaluate the efficacy of endoscopic stent placement...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2000-650
更新日期:2000-06-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:Treatment options for unresectable hepatic hilar strictures include percutaneous or endoscopic stent insertion, using either standard Teflon or self-expanding metal endoprostheses. The use of Teflon stents is complicated by stent migration and high occlusion rates. Published series of endoscop...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1004054
更新日期:1997-01-01 00:00:00
abstract::Ischemic-type biliary lesions (ITBLs) are the most frequent cause of nonanastomotic biliary strictures in liver grafts, affecting about 2-19 % of patients after liver transplantation. ITBL is characterized by bile duct destruction, subsequent stricture formation, and sequestration. We report here the case of a patient...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2003-40242
更新日期:2003-07-01 00:00:00
abstract:BACKGROUND AND STUDY AIM:Endoscopic treatment of Zenker's diverticulum has been successfully reported over the last 10 years using different approaches. The hook-knife is a new device originally developed for endoscopic submucosal dissection procedures. This study aimed to investigate the safety and efficacy of endosco...
journal_title:Endoscopy
pub_type: 临床试验,杂志文章
doi:10.1055/s-0029-1244163
更新日期:2010-07-01 00:00:00
abstract::A percutaneous access to the gastrointestinal hollow organs created by new endostomy tubes permits diagnostic and therapeutic endoscopy in particular of the small intestine. A case of a patient with chronic gastrointestinal bleeding of hitherto unknown origin, in whom enteroscopy and electrocoagulation of an angioma i...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1012907
更新日期:1989-03-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:At many centers wireless capsule endoscopy (WCE) without prior radiographic examination to rule out relevant strictures is considered to be contraindicated in suspected obstructive small-bowel disease. However, the accuracy of radiography in this situation has often been questioned. The purpos...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2005-870220
更新日期:2005-09-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:Several reports have demonstrated the safety of pure natural-orifice transluminal endoscopic surgery (P-NOTES) using transanal endoscopic microsurgery (TEM) and embryonic NOTES (E-NOTES; laparoscopic surgery through the umbilicus). This study was performed to compare the safety and applicabili...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-0030-1256239
更新日期:2011-06-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:The role of endoscopic submucosal dissection (ESD) in Barrett's neoplasia is ill-defined, although it might provide a higher curative resection rate and better histologic assessment than endoscopic mucosal resection (EMR). We aimed to assess efficacy, safety, and long-term results of ESD. PAT...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-0034-1390982
更新日期:2015-02-01 00:00:00
abstract::Endoscopic color photo-documentation has attained a high standard of sophistication through pioneering new technical developments and advances. Nearly all the cavities in the human body can be endoscopically explored by expediently combining appropriate equipment. Suitable endo-instruments for photography, film, and c...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1021708
更新日期:1980-01-01 00:00:00
abstract::The sphincter of Oddi was investigated before, immediately after and 6 weeks after endoscopic sphincterotomy by endoscopic inspection, ERCP manometry, and by X-ray following retrograde cholangiography in 14 patients presenting with bile duct stones. The sphincter motility was normal before sphincterotomy. Following el...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1018313
更新日期:1986-01-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:The present study aimed to investigate the level of knowledge concerning colorectal carcinoma and its screening and treatment in a group of patients with long-standing and extensive ulcerative colitis. PATIENTS AND METHODS:A postal questionnaire was sent to 61 patients with long-standing and ...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1005601
更新日期:1996-11-01 00:00:00
abstract::This Executive summary of the Guideline on pediatric gastrointestinal endoscopy from the European Society of Gastrointestinal Endoscopy (ESGE) and the European Society for Paediatric Gastroenterology Hepatology and Nutrition (ESPGHAN) refers to infants, children, and adolescents aged 0 - 18 years. The areas covered in...
journal_title:Endoscopy
pub_type: 杂志文章,实务指引
doi:10.1055/s-0042-111002
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:The routine utility of fluoroscopy during double-balloon enteroscopy (DBE) via the oral route has been not prospectively evaluated. Up to now, there have been no prospective randomized trials to assess whether fluoroscopy improves outcomes. The aim of this study was to assess the value of fluo...
journal_title:Endoscopy
pub_type: 杂志文章,随机对照试验
doi:10.1055/s-0030-1255727
更新日期:2010-10-01 00:00:00
abstract::Wireless pH monitoring is one of the recent technologies that focus on improving the diagnosis of gastroesophageal reflux disease (GERD). The capsule, which is fixed within the esophagus, transmits data via telemetry to an external receiver. The capsule is usually inserted 6 cm above the squamocolumnar junction during...
journal_title:Endoscopy
pub_type: 杂志文章,评审
doi:10.1055/s-0031-1291541
更新日期:2012-03-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:Anastomotic strictures are an important cause of morbidity after orthotopic liver transplantation (OLT). Endoscopic treatment is the primary treatment modality for biliary complications after OLT. The outcome and complications of a progressive stenting protocol are largely unknown. PATIENTS A...
journal_title:Endoscopy
pub_type: 临床试验,杂志文章
doi:10.1055/s-0032-1326411
更新日期:2013-07-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:The aim of this study was to develop a scale for assessing the quality of published studies on capsule endoscopy, and to apply it to research papers retrieved by a systematic review. METHODS:The scale was based on the evidence-based quality assessment tools used in diagnostic accuracy studies...
journal_title:Endoscopy
pub_type: 杂志文章,meta分析
doi:10.1055/s-2006-944958
更新日期:2006-12-01 00:00:00