ارزش پیش بینی سونوگرافی اندوسکوپیک در پانکراتیت حاد

ستوده منش, رسول and هوشيار, افشين and کلاهدوزان, سعيد and زينالي, فرهاد and شهرآييني, سولماز and کشتکار, علي اصغر (1389) ارزش پیش بینی سونوگرافی اندوسکوپیک در پانکراتیت حاد. Pancreatology ــ 10 (6). pp. 702-706. شاپا 1424-3903

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Prognostic Value of Endoscopic Ultrasound in Acute Pancreatitis

English Abstract

Background/Aims: Endoscopic ultrasonography (EUS) is a useful modality to diagnose causes of pancreatitis. The role of EUS for prediction of pancreatitis severity has not been studied. The aim of this study was to identify the utility of EUS in determining the severity of acute pancreatitis (AP). Methods: All patients diagnosed with pancreatitis consecutively underwent EUS on the 2nd day of their admission. Atlanta criteria were used as the severity index of pancreatitis. Results: During the study period, 114 patients (74 females, 40 males; mean age of 53.03 ± 17.7 years) were enrolled in the study. The most common cause of AP was gallstone (78.9%). According to the Atlanta criteria, pancreatitis was mild in 72 (63.2%) and severe in 42 (36.8%) patients. In univariate analysis, the presence of peripancreatic edema, pancreas inhomogeneity, common bile duct dilation and ascites were associated with severe pancreatitis. In multivariate analysis, only the presence of peripancreatic edema in EUS correlated with the severity of AP according to the Atlanta criteria (sensitivity, specificity and accuracy: 65.8, 75.7 and 72.2%, respectively). Conclusion: EUS may be a new useful imaging modality for prediction of severity of AP and may have prognostic significance in the early phase of AP. and IAP..

Item Type:Article
زبان سند : انگلیسی
نویسنده مسئول :رسول ستوده منش
نویسنده :افشين هوشيار
Additional Information:Impact factor:2.195 Indexing/Abstracting : 1- Pubmed /MEDLINE. 3- Listed in bibliographic services, including Current Contents,
Uncontrolled Keywords:پانكراتيت - سونوگرافي - آندوسكوپي
کلیدواژه ها (انگلیسی):Pancreatitis - Endoscopic - Ultrasound
Subjects:WI Digestive System
Divisions:Faculty of Medicine > Department of Internal Medicine , Cardiology , Infectious
ID Code:2090
Deposited By: Dr Afshin Hooshyar
Deposited On:10 Dec 1389 13:05
Last Modified:12 Nov 1391 09:28

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