Rôle diagnostique de l’écho-endoscopie dans la pancréatite aiguë View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2009-06

AUTHORS

A. Laquière, C. Boustière

ABSTRACT

Dans environ 20 % des cas, la cause d’une pancréatite aiguêtre établie après un bilan clinique, biologique et morphologique abdominal. Certaines études récentes montrent que 60 % des pancréatites aiguës inexpliquées (PAI) ont pour étiologie une microlithiase lorsque la vésicule biliaire est en place. De nombreux autres facteurs peuvent être responsables de PAI: une tumeur pancréatique, une pancréatite chronique débutante, une tumeur intracanalaire papillaire mucineuse du pancréas (TIPMP), un cholédochocèle, un pancréas divisum ou annulaire et une dysfonction du sphincter d’Oddi. L’écho-endoscope (EE) placé au contact du pancréas et de l’arbre biliaire a une meilleure résolution spatiale pour l’analyse des maladies bilio-pancréatiques comparées au TDM et à la cholangio-pancréato-IRM (CP-IRM). La rentabilité diagnostique de l’EE dans l’enquête étiologique des PAI est de 80 %. L’EE permet d’établir le diagnostic étiologique de la plupart des PAI et se place comme une alternative intéressante à la CP-IRM et à la cholangiographie rétrograde par voie endoscopique (CPRE). More... »

PAGES

169-174

Journal

TITLE

Acta Endoscopica

ISSUE

3

VOLUME

39

Author Affiliations

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s10190-009-0025-z

DOI

http://dx.doi.org/10.1007/s10190-009-0025-z

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1019801169


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