Utility of endoscopic ultrasound in pancreatitis: A review

doi:10.3748/wjg.v13.i47.6321

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Dec 21, 2007 (publication date) through Apr 19, 2024

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World Journal of Gastroenterology

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1007-9327

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Gastroenterol. Dec 21, 2007; 13(47): 6321-6326
Published online Dec 21, 2007. doi: 10.3748/wjg.v13.i47.6321

Utility of endoscopic ultrasound in pancreatitis: A review

Maged K Rizk, Henning Gerke

Maged K Rizk, Henning Gerke, University of Iowa Hospitals and Clinics, Division of Gastroenterology and Hepatology, Department of Internal Medicine, 200 Hawkins Drive, Iowa City, IA 52242, United States

Author contributions: All authors contributed equally to the work.

Correspondence to: Henning Gerke, MD, Assistant Professor, Department of Internal Medicine, Division of Gastroenterology and Hepatology, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, Iowa City, IA 52242, United States. henning-gerke@uiowa.edu

Telephone: +1-319-3562132 Fax: +1-319-3536399

Received: June 15, 2007
Revised: August 30, 2007
Accepted: November 10, 2007
Published online: December 21, 2007

Abstract

The close proximity of the endoscopic ultrasound probe to the pancreas results in superior spatial resolution compared to CT scan and MRI. In addition, endoscopic ultrasound (EUS) is a minimally invasive procedure that does not share the relatively high complication rate of ERCP. Due to these advantages, EUS has evolved into an important technique to assess pancreatobiliary disease. This review will discuss the role of EUS in patients with pancreatitis. The indications can be divided into acute pancreatitis and chronic pancreatitis. In acute pancreatitis, EUS is used to determine the etiology; in suspected chronic pancreatitis it is helpful to establish the diagnosis. Lastly, this review will discuss biliary pancreatitis with suspicion for persistent choledocholithiasis.

Keywords: Idiopathic pancreatitis, Acute pancreatitis, Chronic pancreatitis, Endoscopic ultrasound, Endosono-graphy, Pancreas divisum, Cholelithiasis, Microlithiasis, Choledocholithiasis, Biliary pancreatitis