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Prognostic value of endoscopic ultrasound in acute pancreatitis

Sotoudehmanesh, R. and Hooshyar, A. and Kolahdoozan, S. and Zeinali, F. and Shahraeeni, S. and Keshtkar, A.-A. (2010) Prognostic value of endoscopic ultrasound in acute pancreatitis. Pancreatology, 10 (6). pp. 702-706. ISSN 14243903 (ISSN)

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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. Copyright © 2011 S. Karger AG, Basel and IAP.

Item Type: Article
Additional Information: Unmapped bibliographic data: LA - English [Field not mapped to EPrints] J2 - Pancreatology [Field not mapped to EPrints] C2 - 21242710 [Field not mapped to EPrints] AD - Digestive Diseases Research Center, Shariati Hospital, Tehran University of Medical Sciences, North Kargar Ave., Tehran 14117-13135, Iran [Field not mapped to EPrints] AD - Department of Intestinal Medicine, Ardabil University of Medical Sciences, Ardabil, Iran [Field not mapped to EPrints] AD - Golestan Research Center of Gastroenterology and Hepatology, Golestan University of Medical Sciences, Golestan, Iran [Field not mapped to EPrints] DB - Scopus [Field not mapped to EPrints]
Uncontrolled Keywords: Diagnosis, Endosonography, Pancreatitis, acute pancreatitis, adult, aged, alcohol consumption, article, ascites, bile duct dilatation, common bile duct disease, controlled study, diagnostic accuracy, disease association, disease severity, edema, endoscopic echography, endoscopic retrograde cholangiopancreatography, female, gallstone, human, hypertriglyceridemia, idiopathic disease, major clinical study, male, priority journal, sensitivity and specificity, single blind procedure, Acute Disease, Endosonography, Female, Gallstones, Humans, Male, Middle Aged, Pancreatitis, Prognosis, Prospective Studies
Subjects: مقالات نمایه شده محققین دانشگاه در سایت ,Web of Science ,Scopus
Divisions: معاونت تحقیقات و فناوری
Depositing User: GOUMS
Date Deposited: 20 Apr 2015 06:06
Last Modified: 17 Jan 2017 11:25
URI: http://eprints.goums.ac.ir/id/eprint/2138

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