Utility of endoscopic ultrasound in pancreatitis:A review  

作　　者：Maged K Rizk Henning Gerke 

机构地区：[1]University of Iowa Hospitals and Clinics, Division of Gastroenterology and Hepatology, Department of Internal Medicine, 200 Hawkins Drive, Iowa City, IA 52242, United States

出　　处：《World Journal of Gastroenterology》2007年第47期6321-6326,共6页世界胃肠病学杂志（英文版）

摘　　要：The close proximity of the endoscopic ultrasound probe to the pancreas results in superior spatial resolution compared to CT scan and MRI. In addition, endoscopic ultrasound (EUS) is a minimally invasive procedure that does not share the relatively high complication rate of ERCP. Due to these advantages, EUS has evolved into an important technique to assess pancreatobiliary disease. This review will discuss the role of EUS in patients with pancreatitis. The indications can be divided into acute pancreatitis and chronic pancreatitis. In acute pancreatitis, EUS is used to determine the etiology; in suspected chronic pancreatitis it is helpful to establish the diagnosis. Lastly, this review will discuss biliary pancreatitis with suspicion for persistent choledocholithiasis.The close proximity of the endoscopic ultrasound probe to the pancreas results in superior spatial resolution compared to CT scan and MRI. In addition, endoscopic ultrasound （EUS） is a minimally invasive procedure that does not share the relatively high complication rate of ERCP. Due to these advantages, EUS has evolved into an important technique to assess pancreatobiliary disease. This review will discuss the role of EUS in patients with pancreatitis. The indications can be divided into acute pancreatitis and chronic pancreatitis. In acute pancreatitis, EUS is used to determine the etiology; in suspected chronic pancreatitis it is helpful to establish the diagnosis. Lastly, this review will discuss biliary pancreatitis with suspicion for persistent choledocholithiasis.

关 键 词：Idiopathic pancreatitis Acute pancreatitis Chronic pancreatitis Endsocopic ultrasound ENDOSONOGRAPHY Pancreas divisum CHOLELITHIASIS MICROLITHIASIS CHOLEDOCHOLITHIASIS Biliary pancreatitis 

分 类 号：R576[医药卫生—消化系统]