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Superiority of Linear-Array EUS over MRCP in Diagnosing Pancreas Divisum: Evidence from a Multicenter Retrospective Study in Oriental Cohorts.
Gastrointest Endosc
December 2024
Department of Gastroenterology, Shanghai General Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China; Shanghai Key Laboratory of Pancreatic Diseases, Shanghai General Hospital, Shanghai Jiao Tong University, Shanghai, China. Electronic address:
Background And Aims: Pancreas divisum (PD) is the most common developmental anatomic variant of pancreatic duct. The published data on the accuracy of the detection of pancreas divisum by linear-array endoscopic ultrasound (L-EUS) is limited. The current study aimed to assess the diagnostic accuracy of L-EUS compared with magnetic resonance cholangiopancreatography (MRCP) for identifying PD.
View Article and Find Full Text PDFUsefulness of Fecal Calprotectin Measurement in aPediatric Patient with Crohn's Disease.
Fukushima J Med Sci
December 2024
Department of Pediatrics, Japan Self Defense Forces Central Hospital.
Acute pancreatitis in children in Japan is often caused by an anatomical abnormality of the pancreatic and bile duct, resulting in fever, abdominal pain, vomiting, diarrhea, and other symptoms. Crohn's disease, however, is a chronic granulomatous inflammatory bowel disease with ulcerative lesions of the intestinal tract of unknown cause that occurs mainly in young people, with symptoms similar to those of acute pancreatitis. We report a case of acute pancreatitis diagnosed in a patient not only with incomplete fusion of the pancreatic duct but also with Crohn's disease.
View Article and Find Full Text PDFPANCREATODUODENECTOMY AS TREATMENT FOR RECURRENT ACUTE PANCREATITIS DUE TO PANCREAS DIVISUM.
Arq Bras Cir Dig
December 2024
From Universidade Federal do Maranhão, Hospital Universitário Presidente Dutra, Department of Gastrointestinal Surgery, Hepatopancreatobiliary and Liver Transplant Unit - São Luis (MA), Brazil.
Background: Pancreas divisum is an anatomical abnormality where the junction of the main and accessory pancreatic duct fails to occur and the smaller-caliber duct acts as dominant, resulting in overload during the drainage of the organ's secretion through the minor duodenal papilla.
Aims: To report a case of recurrent acute pancreatitis due to symptomatic pancreas divisum who underwent pancreatoduodenectomy.
Case Report: A 21-year-old male patient presented with intermittent painful crises, located in the upper abdomen, with radiation to the back, associated with nausea and vomiting, for the past three years.
Novel method for retrieving Santorini duct stones from a patient with a rare chymotrypsin C variant combined with pancreas divisum.
Endoscopy
December 2024
Department of Gastroenterology, Qilu Hospital of Shandong University, Jinan, China.
Endoscopic Retrograde Cholangiopancreatography: Pancreatic Endoscopy.
Gastroenterol Clin North Am
December 2024
Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, USA. Electronic address:
Article Synopsis
- - The role of pancreatic endoscopic retrograde cholangiopancreatography (ERCP) has shifted from primarily diagnosing issues to being mainly used for therapeutic treatments, especially for conditions like pancreatitis.
- - ERCP is particularly effective in treating pancreatic duct (PD) problems, such as leaks, disruptions, strictures, and stone removals.
- - Advances in pancreatoscopy enhance ERCP's effectiveness by enabling precise treatment of conditions and aiding in the identification and surgical planning for pancreatic tumors.
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