Kontrastverstärkte Sonografie und Endosonografie zur Diagnostik von Pankreaserkrankungen

Hocke, Michael; Dietrich, Christoph F.

doi:10.1055/s-0033-1350630

Cited by 3 publications

(1 citation statement)

References 53 publications

(70 reference statements)

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“…An inflammatory lesion shows a distinctive vessel system of net-like homogeneous vessels with arterial and venous vessels side by side. This is fundamentally different from the neovascularization of an adenocarcinoma, where venous vessels cannot be visualized at all and the arterial vessels are diminished and irregular [ 68 , 76 , 78 , 83 , 85 ]. To differentiate those small vessels, pulsed-wave Doppler is essential and, thus, EUS provides the only technique, to date, that has sufficiently high resolution and the technical capabilities to analyze these vessels.…”

Section: Diagnostic Endoscopic Ultrasoundmentioning

confidence: 99%

Present status and perspectives of endosonography 2017 in gastroenterology

Hocke

Braden

Jenssen³

et al. 2018

Korean J Intern Med

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Endoscopic ultrasound has become an essential tool in modern gastroenterology and abdominal surgery. Compared with all other endoscopic methods, it has the most potential for innovation and its future looks bright. Thus, we compiled this summary of established and novel applications of endoscopic ultrasound methods to inform the reader about what is already possible and where future developments will lead in improving patient care further. This review is structured in four parts. The first section reports on developments in diagnostic endoscopic ultrasound, the second looks at semi-invasive endoscopic ultrasound, and the third discusses advances in therapeutic endoscopic ultrasound. An overview on the future prospects of endoscopic ultrasound methods concludes this article.

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Section: Diagnostic Endoscopic Ultrasoundmentioning

confidence: 99%

Present status and perspectives of endosonography 2017 in gastroenterology

Hocke

Braden

Jenssen³

et al. 2018

Korean J Intern Med

View full text Add to dashboard Cite

show abstract

Comments on and Illustrations of the EFSUMB CEUS Guidelines: Transabdominal and Endoscopic Ultrasound Features of Intrapancreatic Metastases and the Role of Multiparametric Imaging and EUS-Guided Sampling in Rare Pancreatic Tumors

Möller

Jenssen

Braden

et al. 2023

Cancers

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A definite pathologic diagnosis of intrapancreatic metastasis is crucial for the management decision, i.e., curative or palliative surgery versus chemotherapy or conservative/palliative therapy. This review focuses on the appearance of intrapancreatic metastases on native and contrast-enhanced transabdominal ultrasound and endoscopic ultrasound. Differences and similarities in relation to the primary tumor, and the differential diagnosis from pancreatic carcinoma and neuroendocrine neoplasms are described. The frequency of intrapancreatic metastases in autopsy studies and surgical resection studies will be discussed. Further emphasis is placed on endoscopic ultrasound-guided sampling to confirm the diagnosis.

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Pancreatic cystic lesions: The value of contrast-enhanced endoscopic ultrasound to influence the clinical pathway

Hocke¹,

Cui

Domagk

et al. 2014

Endosc Ultrasound

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Background and Objectives:Cystic pancreatic lesions are a growing diagnostic challenge. The aim of this study was to proof a new diagnostic concept based on contrast-enhanced endoscopic ultrasound (CE-EUS) for differential diagnosis.Patients and Methods:A total of 125 patients with unclear cystic pancreatic lesions were included. The initial diagnostic was made by CE-EUS dividing the lesions in a group without contrast enhancing effect in the cystic wall, septae or nodule indicating pseudocysts or dysontogenetic cysts and a group with contrast enhancing effect in the described structures indicating cystic neoplasias. The investigations were performed using a Pentax echoendoscope and Hitachi Preirus ultrasound machine. The contrast enhancer used was 4.8 mL SonoVue® (Bracco, Italy). The group with suspected cystic neoplasia was referred for endoscopic fine-needle puncture for further diagnostic or treatment decisions.Results:The dividing of the groups by contrast-enhanced ultrasound was feasible because all (n = 56) suspected cystic neoplasias showed a contrast enhancing effect, whereas in only 4 from 69 pseudocystic or dysontogenetic cystic lesions a contrast enhancing effect in the wall could be observed. Endoscopic fine-needle puncture could diagnose all malignant neoplasias and relevant premalignant conditions. The long-term follow-up did not show any development of malignant cystic lesions.Conclusion:Using CE-EUS and endoscopic fine-needle puncture as diagnostic criteria seemed to be a feasible method to deal with different cystic lesions in daily practice.

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Kontrastverstärkte Sonografie und Endosonografie zur Diagnostik von Pankreaserkrankungen

Cited by 3 publications

References 53 publications

Present status and perspectives of endosonography 2017 in gastroenterology

Present status and perspectives of endosonography 2017 in gastroenterology

Comments on and Illustrations of the EFSUMB CEUS Guidelines: Transabdominal and Endoscopic Ultrasound Features of Intrapancreatic Metastases and the Role of Multiparametric Imaging and EUS-Guided Sampling in Rare Pancreatic Tumors

Pancreatic cystic lesions: The value of contrast-enhanced endoscopic ultrasound to influence the clinical pathway

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