CC BY 4.0 · Journal of Digestive Endoscopy 2024; 15(01): 059-104
DOI: 10.1055/s-0044-1786306
Abstracts of presentation during ENDOCON 2024, New Delhi

Endoscopic Ultrasound a Diagnostic Tool in Idiopathic Acute Pancreatitis

Neeraj Nagaich
1   Department of Gastroenterology, Fortis Escorts Hospital Jaipur, Rajasthan, India
,
Radha Sharma
2   Department of Pathology, RUHS CMS Jaipur, Rajasthan, India
,
Mukul Rastogi
3   Department of Gastroenterology, Fortis Escorts Noida, Uttar Pradesh, India
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Objective: This study was planned to determine the utility of endoscopic ultrasound (EUS) in patients with unexplained acute pancreatitis, and subsequent need of endoscopic retrograde cholangiopancreatography (ERCP) .

Methods: Patients with idiopathic acute pancreatitis were subjected to EUS. EUS diagnosis was compared with the final diagnosis and outcome in natural history.

Results: EUS revealed a cause of pancreatitis in 29 of the 51 subjects (57%), including microlithiasis in 10 (18%), chronic pancreatitis in 19 (40%), pancreas divisum in 3 (6.1%), pancreatic cancer in 2 (3.5%), and was not diagnostic in 10 (32%). During a mean follow-up period of 12 months, diagnosis changed in seven subjects (11%), and 11 subjects (31%) had ERCP because of recurrent pancreatitis or persistent pain.

Conclusion: EUS picked etiology in more than half of patients with idiopathic acute pancreatitis. Most patients did not require ERCP during the follow-up period. EUS is a useful modality in patients with unexplained recurrent acute pancreatitis.



Publication History

Article published online:
22 April 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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