main pancreatic duct dilatation
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2021 ◽  
Vol 9 (36) ◽  
pp. 11382-11391
Author(s):  
Saki Nakashima ◽  
Yoshiki Sato ◽  
Tsunao Imamura ◽  
Daisuke Hattori ◽  
Tetsuo Tamura ◽  
...  






2019 ◽  
pp. 12-17
Author(s):  
I. N. Mamontov

Abstracts. Aim: to objectify indications for urgent/emergency ERCP in patients with extrahepatic biliary tract obstruction (EBTO) by using the score system Matherials and Methods. The score is used by summing the points: hyperthermia ≥ 37.3 ° C (1 point); one of three hematological points — leukocytosis ≥ 9×109/l or stab neutrophils ≥ 7% or the ratio of the number of segmented and stab neutrophils <10 (1 point); two biochemical — serum bilirubin ≥ 70 μmol / l (1 point), hyperamylasemia (1 point); thickening of the gallbladder wall ≥ 4 mm or shrunken gallbladder (1 point); the main pancreatic duct dilatation (1 point); in the presence of a periampular tumor or signs of chronic pancreatitis, one point is subtracted (- 1 point). The scale was tested on 171 patients with EBTO. Results. The threshold value of the scale was ≥3 points (p <0.001). The number of points (3, ≥4) correlated with the severity of acute cholangitis and acute biliary pancreatitis (p <0.01). Conclusions. In patients with confirmed OEDB in case of ≤2 points of the score system — urgent/emergency ERCP is not indicated; in case of ≥3 points — urgent ERCP is indicated; in case of ≥4 points emergency ERCP should be performed.



2018 ◽  
Vol 105 (13) ◽  
pp. 1825-1834 ◽  
Author(s):  
G. Marchegiani ◽  
S. Andrianello ◽  
G. Morbin ◽  
E. Secchettin ◽  
M. D'Onofrio ◽  
...  


2018 ◽  
Vol 9 (7) ◽  
pp. e173
Author(s):  
Maria Chiara Petrone ◽  
Pietro Magnoni ◽  
Ilaria Pergolini ◽  
Gabriele Capurso ◽  
Mariaemilia Traini ◽  
...  




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