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Endoscopic ultrasonography in the differential diagnosis of pancreatic cystic lesions

Written by Solodinina E.N., Starkov Yu.G., Zamolodchikov R.D., Solodinin P.A.

  UDK: 616.37-006-073.756.8-073.432.1 | Pages:  71–76 | Full text PDF | Open PDF 

Annotation:

Background. The differential diagnosis of pancreatic cystic lesions is still the most debatable issue in abdominal surgery. Among the cystic tumors the non-tumor lesions are often encountered in this region. Endoscopic ultrasonography is becoming of more importance in terms of diagnosis, treatment strategy and cure of patients with pancreatic cystic lesions. The aim of this study is to define diagnostic criteria and evaluate significance of the endoscopic ultrasonography in the differential diagnosis of pancreatic cystic lesions.
Methods. 125 patients with pancreatic cystic lesions underwent the examination, including endoscopic ultrasonography, abdominal ultrasosonography, computed tomography, magnetic resonance imaging. A comparative analysis of efficiency of these methods was performed.
Results. The sensitivity of the endoscopic ultrasonography is 91,4 %, specificity is 95,4 %, accuracy is 93,5 %. The efficiency of the endoscopic ultrasonography exceed other diagnostic
methods. The main criteria in the differential diagnosis of pancreatic cystic lesions were defined.
Conclusions. The endoscopic ultrasonography should be use for complex evaluation of patients with pancreatic cystic lesions in multi-disciplinary surgical hospitals.

Links to authors:
E.N. Solodinina1, Yu.G. Starkov1, R.D. Zamolodchikov1, P.A. Solodinin2
1 A.V. Vishnevsky Institute of Surgery (27 Bolshaya Serpuhovskaya St. Moscow 115093 Russian Federation,
2 Moscow Research and Practical Centre for Narcology (37/1 Lublinskaya St. Moscow 109930 Russian Federation)


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