scholarly journals History of pancreato‐hepatobiliary endoscopy: Endoscopic ultrasound diagnosis

2021 ◽  
Author(s):  
Masayuki Kitano
Keyword(s):  
Endoscopic Ultrasound ◽  
Ultrasound Diagnosis ◽  
History Of

scholarly journals Cystic pancreatic lesions: MR imaging findings and management

2021 ◽  
Vol 12 (1) ◽  
Author(s):  
Giovanni Morana ◽  
Pierluigi Ciet ◽  
Silvia Venturini
Keyword(s):  
Differential Diagnosis ◽  
Endoscopic Ultrasound ◽  
Needle Biopsy ◽  
Main Pancreatic Duct ◽  
Final Diagnosis ◽  
Needle Aspiration ◽  
Morphological Findings ◽  
History Of ◽  
Cystic Pancreatic Lesions ◽  
Radiological Examinations

AbstractCystic pancreatic lesions (CPLs) are frequently casual findings in radiological examinations performed for other reasons in patients with unrelated symptoms. As they require different management according to their histological nature, differential diagnosis is essential. Radiologist plays a key role in the diagnosis and management of these lesions as imaging is able to correctly characterize most of them and thus address to a correct management. The first step for a correct characterization is to look for a communication between the CPLs and the main pancreatic duct, and then, it is essential to evaluate the morphology of the lesions. Age, sex and a history of previous pancreatic pathologies are important information to be used in the differential diagnosis. As some CPLs with different pathologic backgrounds can show the same morphological findings, differential diagnosis can be difficult, and thus, the final diagnosis can require other techniques, such as endoscopic ultrasound, endoscopic ultrasound-fine needle aspiration and endoscopic ultrasound-through the needle biopsy, and multidisciplinary management is important for a correct management.

Pancreatitis crónica del surco pancreatoduoenal: un desafío diagnóstico y terapéutico. Reporte de un caso

2020 ◽  
Vol 50 (2) ◽  
Author(s):  
Claudio Murillo Matamoros ◽  
Marta Muñiz Muñoz ◽  
Miguel Suárez Matías ◽  
Pablo Olcina Domínguez ◽  
Laura Valiente González ◽  
...  
Keyword(s):  
Chronic Pancreatitis ◽  
Surgical Treatment ◽  
Endoscopic Ultrasound ◽  
Duodenal Obstruction ◽  
Imaging Techniques ◽  
Definitive Diagnosis ◽  
Duodenal Wall ◽  
Complex Anatomy ◽  
History Of ◽  
Uncertain Etiology

Groove pancreatitis is a very uncommon type of chronic pancreatitis of uncertain etiology that occurs in the pancreatoduodenal groove. Despite the great advances in imaging techniques, making a definitive diagnosis is difficult because of the complex anatomy of this area. Therefore, surgical treatment is often required due to the impossibility of excluding malignancy. We present the case of a patient with a history of chronic pancreatitis admitted due to duodenal obstruction. The diagnosis was difficult, especially for the need to exclude the neoplasms of the duodenal-pancreatic area. Endoscopic ultrasound was essential to establish a definitive diagnosis, allowing FNAP and correct assessment of the duodenal wall.

scholarly journals Endoscopic ultrasound diagnosis of pneumatosis cystoides coli initially misdiagnosed as colonic polyps

Endoscopy ◽  
2014 ◽  
Vol 46 (S 01) ◽  
pp. E195-E196 ◽  
Author(s):  
Khaled Bamakhrama ◽  
Luka Abdulhady ◽  
Peter Vilmann
Keyword(s):  
Endoscopic Ultrasound ◽  
Colonic Polyps ◽  
Ultrasound Diagnosis

scholarly journals Metastases to the Pancreas Encountered on Endoscopic Ultrasound-Guided, Fine-Needle Aspiration

2015 ◽  
Vol 139 (10) ◽  
pp. 1248-1252 ◽  
Author(s):  
Judy C. Pang ◽  
Michael H. Roh
Keyword(s):  
Endoscopic Ultrasound ◽  
Fine Needle Aspiration ◽  
Needle Aspiration ◽  
Prior History ◽  
Ultrasound Guided ◽  
Cytologic Examination ◽  
Fine Needle ◽  
Pancreatic Masses ◽  
History Of ◽  
Primary Neoplasms

Metastatic lesions in the pancreas are very uncommon and may be difficult to differentiate from the more commonly encountered primary neoplasms derived from the exocrine and endocrine pancreas because of the significant overlap in clinical presentation, imaging, and cytologic features. Metastasis to the pancreas may occur years after treatment of the primary neoplasm and is often not considered on initial evaluation because of the rarity of such events. The possibility of a metastasis to the pancreas should be entertained in patients with any prior history of malignancy because a proper diagnosis is essential in identifying surgical candidates, or avoiding potentially unnecessary surgery and facilitating triage to more appropriate nonoperative therapy. Herein, we describe intrapancreatic metastases secondary to renal cell carcinoma, melanoma, and lung carcinoma, as documented by cytologic examination of endoscopic ultrasound-guided fine-needle aspiration of the pancreatic masses.

scholarly journals Contrast–enhanced endoscopic ultrasound diagnosis of the intraductal papillary mucinous neoplasm

2019 ◽  
Vol 13 (1) ◽  
pp. 120-126
Author(s):  
Giovanna Del Vecchio Blanco ◽  
Cristina Gesuale ◽  
Alessandro Anselmo ◽  
Giampiero Palmieri ◽  
Francesca Baciorri ◽  
...  
Keyword(s):  
Endoscopic Ultrasound ◽  
Intraductal Papillary Mucinous Neoplasm ◽  
Ultrasound Diagnosis ◽  
Mucinous Neoplasm ◽  
Contrast Enhanced

Endoscopic Ultrasound Diagnosis and Laparoscopic Excision of an Omental Lymphangioma

2005 ◽  
Vol 15 (6) ◽  
pp. 630-633 ◽  
Author(s):  
Brian K.P. Goh ◽  
Yu-Meng Tan ◽  
Hock-Soo Ong ◽  
Weng-Hoong Chan ◽  
Chin-Kong Yap ◽  
...  
Keyword(s):  
Endoscopic Ultrasound ◽  
Ultrasound Diagnosis ◽  
Laparoscopic Excision

scholarly journals Increased Incidence of Benign Pancreatic Pathology following Pancreaticoduodenectomy for Presumed Malignancy over 10 Years despite Increased Use of Endoscopic Ultrasound

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Shadi S. Yarandi ◽  
Thomas Runge ◽  
Lei Wang ◽  
Zhijian Liu ◽  
Yueping Jiang ◽  
...  
Keyword(s):  
Endoscopic Ultrasound ◽  
Demographic Data ◽  
Whipple Procedure ◽  
University Hospital ◽  
Imaging Data ◽  
Imaging Studies ◽  
Benign Diseases ◽  
Logistic Regression Models ◽  
Drinking History ◽  
History Of

Despite using imaging studies, tissue sampling, and serologic tests about 5–10% of surgeries done for presumed pancreatic malignancies will have benign findings on final pathology. Endoscopic ultrasound (EUS) is used with increasing frequency to study pancreatic masses. The aim of this study is to examine the effect of EUS on prevalence of benign diseases undergoing Whipple over the last decade. Patients who underwent Whipple procedure for presumed malignancy at Emory University Hospital from 1998 to 2011 were selected. Demographic data, history of smoking and drinking, history of diabetes and pancreatitis, imaging data, pathology reports, and tumor markers were extracted. 878 patients were found. 95 (10.82%) patients had benign disease. Prevalence of benign finding had increased over the recent years despite using more EUS. Logistic regression models showed that abdominal pain (OR: 5.829, 95% CI 2.681–12.674, P ≤ 0.001) and alcohol abuse (OR: 3.221, CI 95%: 1.362–7.261, P: 0.002) were predictors of benign diseases. Jaundice (OR: 0.221, 95% CI: 0.084–0.58, P: 0.002), mass (OR: 0.145, 95% CI: 0.043–0.485, P: 0.008), and ductal dilation (OR: 0.297, 95% CI 0.134–0.657, P: 0.003) were associated with malignancy. Use of imaging studies, ERCP, and EUS has not decreased the percentage of benign findings after surgery for presumed pancreatic malignancy.

scholarly journals Single-session esophagogastroduodenoscopy and endoscopic ultrasound using a forward-viewing radial scan ultrasonic endoscope

2019 ◽  
Author(s):  
Daisuke Uchida ◽  
Hironari Kato ◽  
Kazuyuki Matsumoto ◽  
Yuki Ishihara ◽  
Akihiro Matsumi ◽  
...  
Keyword(s):  
Endoscopic Ultrasound ◽  
Pancreatic Head ◽  
Pancreatic Disease ◽  
Smoking History ◽  
Single Session ◽  
Imaging Capability ◽  
Intraoperative Hypotension ◽  
History Of ◽  
Secondary Endpoints ◽  
Upper Gastrointestinal

Abstract Background and Aims Endoscopic ultrasound is useful for obtaining high-resolution images of pancreaticobiliary diseases, but is not readily available for physical checkups. In this study, we evaluated the safety and efficacy of single-session esophagogastroduodenoscopy and endoscopic ultrasound in the detection of upper-gastrointestinal and pancreaticobiliary diseases using a forward-viewing radial scan ultrasonic endoscope. Methods A total of 148 patients who were scheduled for upper-gastrointestinal screening using an endoscope were prospectively included. All patients were examined by EUS in combination with EGD using a forward-viewing radial scan ultrasonic endoscope. The primary endpoint was the safety of the procedures. The secondary endpoints were the prevalence of diseases, the basal imaging capability of EUS, the procedure time, total dose of propofol, and the correlation between background factors and the prevalence of pancreatic disease. The imaging capability at each region was scored as 0 (invisible) to 2 (sufficient visualization to evaluate the organs). Results Intraoperative hypotension occurred as an adverse event of intravenous anesthesia in one patient. There were 82 pancreaticobiliary findings and 165 upper-gastrointestinal findings (malignancy not included). Follicular lymphoma of the intra-abdominal lymph nodes was detected in one patient. The mean imaging scores of each section were 1.95 (pancreatic head and papilla), 2.0 (pancreatic body), 1.99 (pancreatic tail), and 1.89 (common bile duct and gallbladder). Age, history of diabetes mellitus, and smoking history were significantly associated with the prevalence of pancreatic diseases. Conclusion The simultaneous performance of EGD and EUS using a new ultrasonic endoscope is tolerable and safe for upper-gastrointestinal and pancreaticobiliary screening.

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