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Tu1301 Predictors of Severe Dysplasia in Surgically Resected Non-Malignant Intraductal Papillary Mucinous Neoplasms (IPMN)

Authors :
Kevin M. Cronley
Jordan Thomas
Brett C. Sklaw
Feng Li
Peter Muscarella
Veeral M. Oza
Darwin L. Conwell
Somashekar G. Krishna
Benjamin J. Swanson
Michael Wellner
Mark Bloomston
Samer El-Dika
Jean R. Park
Jon P. Walker
Kyle Porter
Source :
Gastroenterology. 146:S-807
Publication Year :
2014
Publisher :
Elsevier BV, 2014.

Abstract

Background & Aims: Endoscopic ultrasound (EUS) is often used as the gold standard to diagnose chronic pancreatitis (CP) despite concerns about its intra-operator reliability and validity. We sought to determine the benefit of repeat EUS in patients suspected of having CP but having an equivocal or negative initial EUS exam for CP. Methods: Patients who underwent at least two EUS exams at our medical center to evaluate for CP from 20012012 were identified. Demographic, procedural and etiologic factors were abstracted via chart review. Specifically, EUS minimal standard criteria (MST) for CP (hyperechoic foci, hyperechoic strands, lobularity, cysts, ectatic duct, hyperechoic ductal wall, dilated side branches, ductal stones, ductal dilation) were abstracted for all exams. Diagnosis of CP was based on physician impression following each EUS. Results: Between the first and second EUS exams, the number of patients diagnosed with CP increased from 49% to 76% (p

Details

ISSN :
00165085 and 20012012
Volume :
146
Database :
OpenAIRE
Journal :
Gastroenterology
Accession number :
edsair.doi...........fe5323c7d20d583275411ca95d6e327c
Full Text :
https://doi.org/10.1016/s0016-5085(14)62919-x