Endoscopic ultrasonography compared with computed tomography with ERCP in patients with obstructive jaundice or small peri-pancreatic mass

Snady, Harry; Cooperman, Avram M.; Siegel, Jerome H.

doi:10.1016/s0016-5107(92)70326-5

Cited by 109 publications

(27 citation statements)

References 25 publications

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“…In our referral center, the general sensitivity for detection of pancreatic neoplasms by CT or US is respectively, 89% and 76% (data not shown). The literature reports a sensitivity of 100% to detect pancreatic tumors bigger than 3 cm, higher than that obtained by CT or US, and similar to the findings from ERCP [2,3,10,24] . Nonetheless, for small tumors, EUS-FNA presents a better sensitivity in relation to CT or ERCP [4,10,25] , which might be a great advantage, as tumors less than 3 cm accounted for 43% of our patients.…”

Section: Discussionsupporting

confidence: 71%

Diagnosis of pancreatic tumors by endoscopic ultrasound-guided fine-needle aspiration

Ardengh¹,

Lopes²,

Lima³

et al. 2007

WJG

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AIM:To evaluate the diagnostic accuracy of endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) for pancreatic solid tumors larger or smaller than 3 cm, and cystic lesions. For cystic lesions, the values were, respectively, 72.2%, 99.3%, 97.5%, 91% and 92.2%. METHODS:CONCLUSION: EUS-FNA can be used to sample pancreatic tumors in most patients. Even though the negative predictive value is inadequate for large solid tumors, the results are rather good for small solid tumors, especially concerning the sensitivity, negative predictive value and diagnostic accuracy. Among all pancreatic lesions, EUS-FNA for cystic lesions can reveal the best negative predictive value and diagnostic accuracy, both higher than 90%.

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Section: Discussionsupporting

confidence: 71%

Diagnosis of pancreatic tumors by endoscopic ultrasound-guided fine-needle aspiration

Ardengh¹,

Lopes²,

Lima³

et al. 2007

WJG

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“…The results of this prospective study support previous data demonstrating the high accuracy of EUS for diagnosing EHBO of malignant etiology (1,2,26,27 be performed at the same time. However, in order to minimize the risk of unnecessary intervention, there is a strong need to construct a mathematical model for predicting the probability of performing therapeutic ERCP in these patients.…”

Section: Extrahepatic Biliary Jaundice-ercp-eussupporting

confidence: 88%

Comparative evaluation of ERCP and endosonography in the diagnosis of extrahepatic biliary obstruction and a suggested algorithm

Sofi

Javid²,

Zargar³

et al. 2012

Turk J Gastroenterol

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“…Seitdem sind weitere Studien veröffentlicht worden, die die Wertigkeit der EUS in der Diagnostik von Neoplasmen der Papilla Vateri demonstrieren [48,49,50]. …”

Section: Diagnostische Möglichkeitenunclassified

Endoskopische Papillenresektion: Indikation und Grenzen

Heinzow¹,

Meister

Domagk

2012

Visc Med

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Hintergrund: Adenome der Papilla Vateri sind selten. Prävalenzen von 0,04–0,12% werden beschrieben. Eine maligne Transformation von benignen Adenomen zu Papillenkarzinomen ist möglich und folgt der Adenom-Karzinom-Sequenz. Die meisten Papillenadenome treten sporadisch auf, können jedoch z.B. bei Patienten mit familiärer adenomatöser Polyposis genetisch häufiger vorkommen. Methode: Es erfolgte eine aktuelle PubMed-Recherche zum Thema endoskopische Papillenresektion. Ergebnisse/Schlussfolgerung: Eine endoskopische Papillektomie kann bei Adenomen ohne duktale Infiltration durchgeführt werden, während es in Hinblick auf das papilläre Adenokarzinom noch keinen Konsens gibt. Jedoch konnten neuere Studien zeigen, dass Patienten mit hochgradiger intraepithelialer Neoplasie der Papilla Vateri keine lymphovaskuläre Invasion oder Lymphknotenmetastasen aufweisen, sodass eine endoskopische Papillektomie gerechtfertigt erscheint. Da papilläre Adenome in bis zu 30% der Fälle das Risiko für fokale karzinomatöse Areale beherbergen können, sollte jede Papillektomie «en bloc» durchgeführt werden.

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Endoscopic ultrasonography compared with computed tomography with ERCP in patients with obstructive jaundice or small peri-pancreatic mass

Cited by 109 publications

References 25 publications

Diagnosis of pancreatic tumors by endoscopic ultrasound-guided fine-needle aspiration

Diagnosis of pancreatic tumors by endoscopic ultrasound-guided fine-needle aspiration

Comparative evaluation of ERCP and endosonography in the diagnosis of extrahepatic biliary obstruction and a suggested algorithm

Endoskopische Papillenresektion: Indikation und Grenzen

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