Author/Editor		Drobne, David
Title		Pomen endoultrazvoka (EUZ) v diagnostiki akutnega biliarnega pankreatitisa
Type		monografija
Place		Ljubljana
Publisher		Medicinska fakulteta
Publication year		2003
Volume		str. 49
Language		slo
Abstract		Background: Acute biliary pancreatitis (ABP) is an acute inflammation of the pancreas resulting from obstruction of the common bile duct by gallstones - choledocholithiasis (hHL). Endoscopic retrograde cholangiopancreatography (ERCP) is the standard for detection of HHL in patients with ABP. In case of HHL endoscopic sphincterotomy of the papila of Vater (ES) with stone extraction can be performed within the same procedure. ERCP with ES perfonned carly in the course of the disease decreases morbidity. AIM: ERCP is associated with complications, which may be severe, in up to 10% of patients. In patients with HHL ERCP cannot be avoided, since ES can only be performed with ERCP. In 30 - 60% of the patients the bile duct stones pass spontaneously. These patients do not need ERCP. However, ERCP is performed in all patients with ABP since it is the only diagnostic tool capable of reliably identifying HHL. With its high resolution and almost no complications endoscopic ultrasound (EUS) is emerging as another technique for detecting HHL. The aim of this study was to prospectively evaluate the ability of EUS to identify HHL in patients with ABP in order to limit the use of ERCP only to patients with HHL. Hypotesis: We determined the sensitivity and specificity of EUS for identifying HHL in patients with ABP in order to find out if the use of EUS in patients with ABP can reduce the use of ERCP. (Abstract truncated at 2000 characters)
Descriptors		COMMON BILE DUCT CALCULI PANCREATITIS ENDOSONOGRAPHY CHOLANGIOPANCREATOGRAPHY, ENDOSCOPIC RETROGRADE SPHINCTEROTOMY, ENDOSCOPIC