Das Binnenreflexmuster des normalen Pankreas

Kölbel, G; Mc, Majer; Cf, Hess; Kurtz, B

doi:10.1055/s-2008-1048513

Cited by 4 publications

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“…Former investigations included obese patients [12,13]. Examinations of Kölbel and Marks [12,14], however, indicate that body weight and fatty infiltration have a significant influence on pancreatic echogenicity. Thus, overweight patients should be excluded from studies investigating the influence of aging as we have.…”

Section: Discussionmentioning

confidence: 99%

Pancreas and Aging: A Study Using Ultrasonography

Glaser

Stienecker

2000

Gerontology

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Background: The pancreas undergoes a continuous aging process leading to alterations such as atrophy, fatty infiltration and fibrosis. Objective: The aim of this study was to determine the normal ultrasonic aspect of the pancreas and any relationship to age with special regard to pancreatic echogenicity and pancreatic duct diameter. Methods: In the study on pancreatic echogenicity 131 patients (56 male, 75 female), aged 18–92 (median 52) years, with normal weight were examined prospectively. The echogenicity of the pancreas was compared with the normal liver and divided into four different categories. The prospective investigation into any age relationship of pancreatic duct diameter was performed on 101 patients (44 male, 57 female), ages 18–91 (median 53) years, with normal weight. In both studies, the patients were split into seven age groups. For statistical analysis the chi-square test for independence was used. Results: With advancing age, ultrasonography demonstrated an increasing echogenicity of the pancreas, beginning in the 4th decade of life. Most patients over 50 years, and all patients over 80 had a marked echogenicity, distinctly higher than that found in the liver. The mean pancreatic duct diameter of all patients in the second study was 1.9 mm. Younger subjects had a smaller diameter – average 1.5 mm in the group 18–29 years – but with advancing age a distinct duct enlargement was observed: mean 1.9 mm in the group 40–49 years, mean 2.3 mm in patients over 80 years, but not exceeding 3 mm. Conclusion: On ultrasonography, the aging process of the pancreas leads to an increase of echogenicity. In the aged, a very high echogenicity is a normal ultrasonic finding. The pancreatic duct diameter also increases with advancing age. Even in advanced age, a diameter of more than 3 mm, however, should be regarded as a pathological finding.

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Section: Discussionmentioning

confidence: 99%

Pancreas and Aging: A Study Using Ultrasonography

Glaser

Stienecker

2000

Gerontology

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Reproducibility of ultrasound measurement of pancreatic size with new advanced high‐resolution dynamic image scanners

Giandomenico

Filippone

Basilico

et al. 1993

J of Clinical Ultrasound

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The reproducibility of ultrasound measurements of the pancreas was investigated in 10 healthy volunteers. All subjects underwent three different evaluations, each consisting of three ultrasound examinations, at 8:00 after overnight fasting, at 12:00 after a solid, standard meal, and at 14:00. The longitudinal and anteroposterior (AP) diameters of the head, body, and tail, as well as the total areas of the gland, were measured in longitudinal and axial scans. Significant differences were observed in the head and body longitudinal diameters measured at 12:00 and in the tail AP diameter at 14:00. We conclude that ultrasonography of the pancreas should be performed in the morning with patients in the fasting state. In these conditions, the reliability of ultrasound measurements of the gland appears to be the highest.

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The Clinical Implications of Fatty Pancreas: A Concise Review

et al. 2017

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Fatty pancreas is a newly recognized condition which is poorly investigated until today as compared to nonalcoholic fatty liver disease. It is characterized by pancreatic fat accumulation and subsequent development of pancreatic and metabolic complications. Association of fatty pancreas have been described with type 2 diabetes mellitus, acute and chronic pancreatitis and even pancreatic carcinoma. In this review article, we provide an update on clinical implications, pathogenesis, diagnosis, treatment and outcomes.

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Das Binnenreflexmuster des normalen Pankreas

Cited by 4 publications

References 0 publications

Pancreas and Aging: A Study Using Ultrasonography

Pancreas and Aging: A Study Using Ultrasonography

Reproducibility of ultrasound measurement of pancreatic size with new advanced high‐resolution dynamic image scanners

The Clinical Implications of Fatty Pancreas: A Concise Review

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