USEFULNESS OF ENDOSCOPIC ULTRASONOGRAPHY FOR THE DIAGNOSES OF CHRONIC PANCREATITIS

  • OHTSUBO Koushiro
    Department of Internal Medicine and Medical Oncology, Cancer Research Institute, Kanazawa University
  • OKAI Takashi
    Department of Internal Medicine and Medical Oncology, Cancer Research Institute, Kanazawa University
  • TSUCHIYAMA Tomoya
    Department of Internal Medicine and Medical Oncology, Cancer Research Institute, Kanazawa University
  • MOURI Hisatsugu
    Department of Internal Medicine and Medical Oncology, Cancer Research Institute, Kanazawa University
  • YAMAGUCHI Yasushi
    Department of Internal Medicine and Medical Oncology, Cancer Research Institute, Kanazawa University
  • WATANABE Hiroyuki
    Department of Internal Medicine and Medical Oncology, Cancer Research Institute, Kanazawa University
  • MOTOO Yoshiharu
    Department of Internal Medicine and Medical Oncology, Cancer Research Institute, Kanazawa University
  • SAWABU Norio
    Department of Internal Medicine and Medical Oncology, Cancer Research Institute, Kanazawa University

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Other Title
  • 慢性膵炎の診断における超音波内視鏡の有用性

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Abstract

We report usefulness of endoscopic ultrasonography (EUS) for the diagnoses of chronic pancreatitis (CP). We evaluated EUS features of hyperechoic foci, hyperechoic strand, lobular out gland margin, lobularity, cyst, stone, ductal dilatation, side branch dilatation, duct irregularity, hyperechoic duct margins, atrophy, localized swelling in cases with CP (30 definite and 6 probable) diagnosed by computed tomography (CT) or endoscopic retrograde cholangiopan creatography (ERCP). Hyperechoic foci, hyperechoic strand, lobularity, hyperechoic duct margins in definite or probable CP were recognized in more than 80 % cases. Lobular out gland margin was observed in 14 (47 %) of 30 cases with definite CP, although none with probable CP(P = 0.06). In conclusions, hyperechoic foci, hyperechoic strand, lobularity, hyperechoic ductmargins are useful for screening of CP, and lobular out gland margin would be reliable finding in definite CP.

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