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Parsi A, Masjedizadeh A, Seyedian SS, et al. An investigation into the sensitivity of endoscopic ultrasound in the diagnosis of malignant bile duct in patients with idiopathic acute pancreatitis. J Family Med Prim Care. 2019;8(2):733-737doi: 10.4103/jfmpc.jfmpc_463_18.
Parsi, A., Masjedizadeh, A., Seyedian, S. S., Hashemi, S. J., Jasemi, F., & Nourinejad, R. (2019). An investigation into the sensitivity of endoscopic ultrasound in the diagnosis of malignant bile duct in patients with idiopathic acute pancreatitis. Journal of family medicine and primary care, 8(2), 733-737. https://doi.org/10.4103/jfmpc.jfmpc_463_18
Parsi, Abazar, et al. "An investigation into the sensitivity of endoscopic ultrasound in the diagnosis of malignant bile duct in patients with idiopathic acute pancreatitis." Journal of family medicine and primary care vol. 8,2 (2019): 733-737. doi: https://doi.org/10.4103/jfmpc.jfmpc_463_18
Parsi A, Masjedizadeh A, Seyedian SS, Hashemi SJ, Jasemi F, Nourinejad R. An investigation into the sensitivity of endoscopic ultrasound in the diagnosis of malignant bile duct in patients with idiopathic acute pancreatitis. J Family Med Prim Care. 2019 Feb;8(2):733-737. doi: 10.4103/jfmpc.jfmpc_463_18. PMID: 30984704; PMCID: PMC6436311.
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J Family Med Prim Care. 2019 Feb;8(2):733-737. doi: 10.4103/jfmpc.jfmpc_463_18.

An investigation into the sensitivity of endoscopic ultrasound in the diagnosis of malignant bile duct in patients with idiopathic acute pancreatitis.

Journal of family medicine and primary care

Abazar Parsi, Abdolrahim Masjedizadeh, Seyed Saeid Seyedian, Seyed Jalal Hashemi, Farzad Jasemi, Razieh Nourinejad

Affiliations

  1. Alimentary Tract Research Center, Ahvaz Jundishapur University of Medical Science, Ahvaz, Iran.

PMID: 30984704 PMCID: PMC6436311 DOI: 10.4103/jfmpc.jfmpc_463_18

Abstract

INTRODUCTION AND OBJECTIVE: Acute pancreatitis (AP) is an inflammatory process of the pancreas characterized by abdominal pain and increased pancreatic enzymes. This disease is diagnosed clinically. Endoscopic ultrasound (EUS), which is a technique with high sensitivity and specificity, is used to diagnose biliary disease. This study aimed to determine the sensitivity of EUS in the diagnosis of malignant bile duct in patients with idiopathic AP.

METHODS: This descriptive study was performed on 146 patients with pancreatitis hospitalized in the gastrointestinal tract section of the Imam Khomeini Hospital of Ahwaz Jundishapur University of Medical Sciences. The collected data were analyzed by the SPSS 22.0 and the significance level of the test was <0.05.

RESULTS: According to the results, 79 (54%) out of the 146 patients were female and 67 (46%) were male. The mean and standard deviation of the patients' age were 52.5 and 19.6 years, respectively. The findings showed that the sensitivity and specificity of the EUS were 33% and 99%, respectively. Compared to the endoscopic retrograde cholangiopancreatography (ERCP), the sensitivity and specificity of the abdominal ultrasound were 62% and 62.5%, respectively. Compared to the ERCP, the sensitivity and specificity of EUS were 92% and 50%, respectively.

CONCLUSION: The findings of this study showed that the sensitivity and specificity of EUS were higher than those of abdominal ultrasound. Moreover, EUS was the preferred method to detect common bile duct stones (CBDS).

Keywords: Bile duct stones; endoscopic ultrasound; idiopathic acute pancreatitis

Conflict of interest statement

There are no conflicts of interest.

References

  1. Gastrointest Endosc. 1999 May;49(5):599-604 - PubMed
  2. Int J Pancreatol. 1999 Jun;25(3):195-210 - PubMed
  3. Am J Gastroenterol. 1999 Nov;94(11):3211-4 - PubMed
  4. Am J Med. 2000 Aug 15;109(3):196-200 - PubMed
  5. J Clin Gastroenterol. 2001 Oct;33(4):302-5 - PubMed
  6. Endoscopy. 2002 Apr;34(4):299-303 - PubMed
  7. Gastrointest Endosc. 2003 Apr;57(4):510-8 - PubMed
  8. Dig Liver Dis. 2004 Mar;36(3):205-11 - PubMed
  9. Gastrointest Endosc. 2006 Aug;64(2):248-54 - PubMed
  10. Dig Dis Sci. 2006 Dec;51(12):2280-6 - PubMed
  11. Clin Gastroenterol Hepatol. 2007 May;5(5):616-23 - PubMed
  12. Gastroenterology. 2007 May;132(5):2022-44 - PubMed
  13. Gastrointest Endosc. 2008 Feb;67(2):235-44 - PubMed
  14. Rev Assoc Med Bras (1992). 2010 Jan-Feb;56(1):27-31 - PubMed
  15. Pancreas. 2011 Mar;40(2):289-94 - PubMed
  16. Mayo Clin Proc. 1988 May;63(5):466-73 - PubMed
  17. Dig Dis Sci. 1985 Jun;30(6):573-4 - PubMed
  18. Endoscopy. 1994 Nov;26(9):800-2 - PubMed
  19. Arch Intern Med. 1994 Nov 28;154(22):2573-81 - PubMed
  20. Gastroenterology. 1994 Apr;106(4):1062-7 - PubMed
  21. Endoscopy. 1995 Aug;27(6):424-7 - PubMed
  22. Gastrointest Endosc. 1997 Mar;45(3):261-7 - PubMed

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