scholarly journals Comparing the Roles of EUS, ERCP and MRCP in Idiopathic Acute Recurrent Pancreatitis

2016 ◽  
Vol 9 ◽  
pp. CGast.S37927 ◽  
Author(s):  
Mohammad Taghi Safari ◽  
Mohammad Bager Miri ◽  
Shahram Ebadi ◽  
Shabnam Shahrokh ◽  
Amir Houshang Mohammad Alizadeh
Keyword(s):  
Acute Pancreatitis ◽  
Endoscopic Ultrasound ◽  
Clinical Management ◽  
Complete Resolution ◽  
Imaging Modality ◽  
Biliary Tree ◽  
Recurrent Pancreatitis ◽  
Close Proximity ◽  
Extrahepatic Biliary Tree ◽  
Symptoms And Signs

Acute recurrent pancreatitis (ARP) is defined as more than two attacks of acute pancreatitis with complete or almost complete resolution of symptoms and signs of pancreatitis between episodes. The initial evaluation fails to detect the cause of ARP in 10%-30% of patients, whose condition is classified as idiopathic ARP. Endoscopic ultrasound (EUS) has gained increasing attention as a useful imaging modality for the pancreas and the extrahepatic biliary tree. The close proximity of the pancreas to the digestive tract allows EUS to obtain detailed images of this organ. This review aims to record pancreaticobiliary endoscopic ultrasound (EUS) and other imaging modalities in the clinical management of patients with idiopathic ARP.

scholarly journals Utility of endoscopic ultrasound in idiopathic acute recurrent pancreatitis

2021 ◽  
Vol 8 (1) ◽  
pp. e000538
Author(s):  
Alejandra Tepox-Padrón ◽  
Rafael Ambrosio Bernal-Mendez ◽  
Gilberto Duarte-Medrano ◽  
Adriana Fabiola Romano-Munive ◽  
Milton Mairena-Valle ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
Chronic Pancreatitis ◽  
Endoscopic Ultrasound ◽  
Complete Resolution ◽  
Diagnostic Yield ◽  
Recurrent Pancreatitis ◽  
Mucinous Neoplasm ◽  
Possible Cause ◽  
Symptoms And Signs

Idiopathic acute recurrent pancreatitis (IARP) is defined as at least two episodes of acute pancreatitis with the complete or near-complete resolution of symptoms and signs of pancreatitis between episodes, without an identified cause. There is a paucity of information about the usefulness of endoscopic ultrasound (EUS) in IARP.ObjectivesTo determine the diagnostic yield of EUS in IARP.DesignA retrospective study was performed in patients with IARP evaluated by EUS between January 2009 and December 2016. Follow-up assessments of acute pancreatitis recurrence were carried out.ResultsSeventy-three patients with 102 EUS procedures were included. EUS was able to identify the cause of IARP in 55 patients (75.3%). The most common findings were chronic pancreatitis in 27 patients (49.1%), followed by lithiasic pathology in 24 patients (43.6%), and intraductal papillary mucinous neoplasm in four patients (7.3%). A directed treatment against EUS findings had a protective tendency associated with the final resolution of recurrence. There were no complications reported.ConclusionEUS performed in patients with IARP helped to identify a possible cause in 2/3 of the cases. The majority of patients have a treatable disease.

scholarly journals A Suspected Case Of Endoscopic Ultrasound Induced Pancreatitis, Without Fine Needle Aspirate

2016 ◽  
Vol 10 (4) ◽  
Author(s):  
Michael John Abunassar BSc, BA, MD ◽  
Loree Boyle, BN, MD, FRCPC ◽  
Avijit Chaterjee, MSc, MDCM. FRCPC
Keyword(s):  
Acute Pancreatitis ◽  
Endoscopic Ultrasound ◽  
Pancreatic Cyst ◽  
Epigastric Pain ◽  
Stable Condition ◽  
Suspected Case ◽  
Fine Needle Aspirate ◽  
Recurrent Pancreatitis ◽  
Fine Needle ◽  
History Of

A 78-year-old male developed nausea and epigastric pain 8 hours following an endoscopic ultrasound (EUS) procedure. The patient had a history of recurrent pancreatitis, and underwent the EUS procedure with the aim of aspirating a pancreatic cyst. The cyst had regressed in size, in keeping with a pseuodocyst, and was not biopsied. The patient tolerated the procedure well with no immediate complications, and was discharged home in stable condition. Eight hours later, the patient developed acute pancreatitis.

Role of Diagnostic Endoscopic Ultrasound in Idiopathic Acute Pancreatitis and Acute Recurrent Pancreatitis in Children

Pancreas ◽  
2019 ◽  
Vol 48 (3) ◽  
pp. 350-355 ◽  
Author(s):  
Srikanth Puttaiah Kadyada ◽  
Babu Ram Thapa ◽  
Narendra Dhaka ◽  
Anmol Bhatia ◽  
Jagadeesh Menon
Keyword(s):  
Acute Pancreatitis ◽  
Endoscopic Ultrasound ◽  
Recurrent Pancreatitis ◽  
Idiopathic Acute Pancreatitis

scholarly journals Ansa Pancreatica, an Uncommon Cause of Acute, Recurrent Pancreatitis

2021 ◽  
pp. 587-593
Author(s):  
Danial H. Shaikh ◽  
Ahmed Alemam ◽  
Jennifer von Ende ◽  
Haider Ghazanfar ◽  
Anil Dev ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
Pancreatic Duct ◽  
Endoscopic Ultrasound ◽  
Main Pancreatic Duct ◽  
Recurrent Pancreatitis ◽  
Recurrent Acute Pancreatitis ◽  
Developmental Anomalies ◽  
Anatomic Variant ◽  
Minor Papilla ◽  
Ansa Pancreatica

The pancreatic duct is vulnerable to developmental anomalies which may produce variations in its course and/or its configuration. Ansa pancreatica is the least common anatomic variant. It is characterized by the formation of an “S-shaped loop” from the main pancreatic duct to the minor papilla. Ansa pancreatica has been implicated as a cause of recurrent acute pancreatitis. We review existing literature on pancreatitis secondary to the ansa deformity and present a case of recurrent acute pancreatitis in a patient who was ultimately found to have the ansa deformity on endoscopic ultrasound.

scholarly journals Contrast-Enhanced Endoscopic Ultrasound for Evaluation of Common Bile Duct in Presence of Portal Cavernoma

2020 ◽  
Vol 11 (03) ◽  
pp. 225-227
Author(s):  
Surinder Singh Rana ◽  
Ravi Kumar Sharma ◽  
Rajesh Gupta
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Endoscopic Ultrasound ◽  
Imaging Modality ◽  
Contrast Enhanced ◽  
Close Proximity ◽  
Portal Cavernoma ◽  
Venous Collaterals ◽  
Difficult Situations

AbstractEndoscopic ultrasound (EUS) is an excellent imaging modality for the evaluation of common bile duct (CBD) because of its close proximity to the transducer placed in duodenum. However, in the presence of portal cavernoma, identification and proper evaluation of CBD become difficult because of presence of numerous venous collaterals. In these circumstances, the evaluation of CBD is more difficult if it is nondilated. In these difficult situations, contrast-enhanced EUS can provide better and clear images of CBD and therefore seems to be an excellent modality to evaluate nondilated CBD in the presence of portal cavernoma.

scholarly journals Acute pancreatitis evoked by small-cell lung carcinoma metastases and detected by endoscopic ultrasound

Endoscopy ◽  
2012 ◽  
Vol 44 (S 02) ◽  
pp. E45-E46
Author(s):  
G. Wurm Johansson ◽  
E. Toth ◽  
J. Torp ◽  
A. Ehinger ◽  
L. Andersson ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
Endoscopic Ultrasound ◽  
Lung Carcinoma ◽  
Small Cell Lung Carcinoma ◽  
Small Cell ◽  
Small Cell Lung ◽  
Cell Lung Carcinoma

scholarly journals Acute Pancreatitis: An Atypical Presentation

2017 ◽  
Vol 11 (2) ◽  
pp. 359-363 ◽  
Author(s):  
Omar Nadhem ◽  
Omar Salh
Keyword(s):  
Acute Pancreatitis ◽  
Abdominal Pain ◽  
Case Reports ◽  
Case Series ◽  
Normal Serum ◽  
Intravenous Fluids ◽  
Serum Enzyme ◽  
Serum Lipase ◽  
Upper Abdominal ◽  
Symptoms And Signs

Acute pancreatitis is an important cause of acute upper abdominal pain. Because its clinical features are similar to a number of other acute illnesses, it is difficult to make a diagnosis only on the basis of symptoms and signs. The diagnosis of acute pancreatitis is based on 2 of the following 3 criteria: (1) abdominal pain consistent with pancreatitis, (2) serum lipase and/or amylase ≥3 times the upper limit of normal, and (3) characteristic findings from abdominal imaging. The sensitivity and specificity of lipase in diagnosing acute pancreatitis are undisputed. However, normal lipase level should not exclude a pancreatitis diagnosis. In patients with atypical pancreatitis presentation, imaging is needed. We experienced two cases of acute pancreatitis associated with normal serum enzyme levels. Both patients were diagnosed based on clinical and radiological evidence. They were successfully treated with intravenous fluids and analgesics with clinical and laboratory improvement. The importance of this case series is the unlikely presentation of acute pancreatitis. We believe that more research is needed to determine the exact proportion of acute pancreatitis patients who first present with normal serum lipase, since similar cases have been seen in case reports.

scholarly journals Bilobular pancreas: another variant of the divided pancreas?

2006 ◽  
Vol 63 (10) ◽  
pp. 902-904 ◽  
Author(s):  
Dragana Zivanovic ◽  
Vojislav Perisic
Keyword(s):  
Acute Pancreatitis ◽  
Pancreatic Disease ◽  
Recurrent Pancreatitis ◽  
Adequate Diet ◽  
Dorsal Pancreas ◽  
Full Control ◽  
Endoscopic Cholangiopancreatography ◽  
Key Factor ◽  
Ventral And Dorsal Pancreas ◽  
Possible Cause

Background. Pancreas divisum is the most common anomaly of the pancreas. This anomaly has been known as a possible cause of recurrent pancreatitis. Case report. We performed computerized tomography (CT) of the abdomen in 5 children in whom a divided pancreas was confirmed using endoscopic cholangiopancreatography. In a girl, who had three episodes of severe acute pancreatitis, a CT examination confirmed a completely divided embryonal dorsal and ventral primordium. We named this variant of the divided pancreas the "bilobular pancreas". Contrary to the remaining 4 children in whom the control of the number and severity of attacks, as well as the control of pancreatic pain were achieved by pharmacotherapeutics and an adequate diet, in the reported patient sphincteroplasty of the papilla duodeni minor resulted in a full control of the disease. Conclusion. The paper discussed the possibility that the variant of the divided pancreas, with anatomically completely separated ventral and dorsal pancreas and their ductal systems, is the key factor that determines the severity of pancreatic disease and an indication for sphincteroplasty of the papilla duodeni minor as the major therapeutic method.

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