Pancreatographic findings in idiopathic acute pancreatitis View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2005-02

AUTHORS

Terumi Kamisawa, Naoto Egawa, Gaku Matsumoto, Kouji Tsuruta, Atsutake Okamoto, Tomomi Okamoto

ABSTRACT

Background/purposeDespite extensive evaluation based on clinical history, biochemical tests, and noninvasive imaging studies, the cause of acute pancreatitis cannot be determined in 10 to 30% of patients, and a diagnosis of idiopathic acute pancreatitis is made. The purpose of this study was to clarify the pancreatographic findings in patients with idiopathic acute pancreatitis.MethodsEndoscopic retrograde cholangiopancreatography (ERCP) was performed in 34 patients with idiopathic acute pancreatitis, and the pancreatographic findings were examined. Patency of the accessory pancreatic duct was examined by dye-injection endoscopic retrograde pancreatography (ERP) in 16 of the 34 patients.ResultsIn 11 patients (32%), the following anatomic abnormalities of the pancreatic or biliary system were demonstrated: complete pancreas divisum (n = 5), incomplete pancreas divisum (n = 2), high confluence of pancreaticobiliary ducts (n = 2), choledochocele (n = 1), and giant periampullary diverticulum (n = 1). Pancreatographic findings were normal in 17 patients. Eleven of these patients were examined by dye-injection ERP, and all were found to have nonpatent accessory pancreatic duct.ConclusionsAnatomic abnormality of the pancreatic or biliary system is one of the major causes of idiopathic acute pancreatitis. Closure of the accessory pancreatic duct may play a role in the development of idiopathic acute pancreatitis in patients with a normal pancreaticobiliary ductal system. More... »

PAGES

99-102

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00534-004-0952-1

DOI

http://dx.doi.org/10.1007/s00534-004-0952-1

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1006352310

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/15754109


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196 grid-institutes:grid.415479.a schema:alternateName Department of General Medicine, Tokyo Metropolitan Komagome Hospital, Tokyo, Japan
197 Department of Internal Medicine, Tokyo Metropolitan Komagome Hospital, 3-18-22 Honkomagome, Bunkyo-ku, 113-8677, Tokyo, Japan
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