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Tu1301 Predictors of Severe Dysplasia in Surgically Resected Non-Malignant Intraductal Papillary Mucinous Neoplasms (IPMN)
- 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
- Subjects :
- Endoscopic ultrasound
medicine.medical_specialty
Hepatology
medicine.diagnostic_test
business.industry
education
Gastroenterology
Recurrent acute pancreatitis
Non malignant
Subgroup analysis
Severe dysplasia
medicine.disease
digestive system diseases
Ectasia
Etiology
medicine
Pancreatitis
Radiology
business
Subjects
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