Endoscopic ultrasound in the diagnosis of chronic pancreatitis

被引:0
|
作者
Iglesias-Garcia, Julio [1 ,2 ]
Larino-Noia, Jose [1 ,2 ]
Lindkvist, Bjoern [1 ,2 ,3 ]
Enrique Dominguez-Munoz, J. [1 ,2 ]
机构
[1] Hosp Univ Santiago, Dept Gastroenterol, Santiago De Compostela 15706, A Coruna, Spain
[2] Hosp Univ Santiago, Fdn Res Digest Dis FIENAD, Santiago De Compostela 15706, A Coruna, Spain
[3] Univ Gothenburg, Inst Med, Sahlgrenska Acad, Gothenburg, Sweden
关键词
Endoscopic ultrasound; Diagnosis; Chronic pancreatitis; FINE-NEEDLE-ASPIRATION; DIFFERENTIAL-DIAGNOSIS; INTEROBSERVER AGREEMENT; EUS ELASTOGRAPHY; RETROGRADE PANCREATOGRAPHY; EXOCRINE INSUFFICIENCY; ULTRASONOGRAPHY; ACCURACY; MASSES; FNA;
D O I
暂无
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Diagnosis of chronic pancreatitis (CP) remains a challenge. Endoscopic ultrasound (EUS) can be considered nowadays as the technique of choice for the morphological diagnosis of this disease. More than three or four EUS defined criteria of CP need to be present for the diagnosis of the disease. The development of the more restrictive Rosemont classification aims to standardize the criteria, assigning different values to different features but its impact on the EUS-based diagnosis of CP is debatable. A combined use of endoscopic function test and EUS has even increased the diagnostic yield. Elastography and FNA may be also of help for diagnosing CP. EUS also provides with very valuable information on the severity of the disease, giving key information that may influence in the treatment. Differential diagnosis of solid pancreatic masses in the context of a CP is also challenging, EUS plays a key role in this context. It provides with the possibility of obtaining specimens for histopathological diagnosis. Nowadays, new developed techniques associated to EUS, like elastography and contrast enhancement, are also showing promising results for the differentiating between these pancreatic lesions.
引用
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页码:221 / 228
页数:8
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