Diagnostic value of EUS-guided SF6 pancreatography for pancreatic cystic lesions on cyst communication with the pancreatic duct.

IF 4.4 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY
Huikai Li, Xiuxue Feng, Fei Gao, Qianqian Chen, Enqiang Linghu
{"title":"Diagnostic value of EUS-guided SF6 pancreatography for pancreatic cystic lesions on cyst communication with the pancreatic duct.","authors":"Huikai Li,&nbsp;Xiuxue Feng,&nbsp;Fei Gao,&nbsp;Qianqian Chen,&nbsp;Enqiang Linghu","doi":"10.4103/EUS-D-22-00064","DOIUrl":null,"url":null,"abstract":"<p><strong>Background and objectives: </strong>ERCP remains the reliable method to determine whether pancreatic cystic lesions (PCLs) and pancreatic duct communicate when other modalities (computed tomography, magnetic resonance imaging, and EUS) fail. However, complications after ERCP are still a risk that should not be ignored. In this study, we evaluated the value of EUS-guided SF6 pancreatography (ESP) for the diagnosis of PCLs focusing on pancreatic cyst communication with the pancreatic duct.</p><p><strong>Patients and methods: </strong>We reviewed the database of medical records to retrieve the clinicopathological data of the patients with PCLs who had undergone ESP, and analyzed the diagnostic value of ESP to determine communication between the cyst and the pancreatic duct. The inclusion criteria were as follows: (1) PCLs were pathologically diagnosed by postsurgery specimen or through-the-needle biopsy and (2) ESP was performed to determine communication between the pancreatic cyst and the pancreatic duct.</p><p><strong>Results: </strong>Pathological diagnosis confirmed communication with the pancreatic duct in all eight patients with positive pancreatography, among whom seven were branch-duct-intraductal papillary mucinous neoplasm (BD-IPMN) and one was the main duct-IPMN. Pathological diagnosis confirmed noncommunication with the pancreatic duct in 20 of the 21 patients with negative pancreatography, among whom 11 were mucinous cystic neoplasm, 7 were serous cystic neoplasm, 1 was solid pseudopapillary neoplasm, 1 was pancreatic pseudocyst, and 1 was BD-IPMN. The accuracy, sensitivity, specificity, positive predictive value, and negative predictive value of ESP to determine communication between the pancreatic cyst and the pancreatic duct were 96.6% (28/29), 88.9% (8/9), 100% (20/20), 100% (8/8), and 95.2% (20/21), respectively.</p><p><strong>Conclusions: </strong>ESP achieved high accuracy to determine communication between the pancreatic cyst and the pancreatic duct.</p>","PeriodicalId":11577,"journal":{"name":"Endoscopic Ultrasound","volume":"12 2","pages":"245-250"},"PeriodicalIF":4.4000,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/88/82/EUS-12-245.PMC10237612.pdf","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Endoscopic Ultrasound","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.4103/EUS-D-22-00064","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"GASTROENTEROLOGY & HEPATOLOGY","Score":null,"Total":0}
引用次数: 0

Abstract

Background and objectives: ERCP remains the reliable method to determine whether pancreatic cystic lesions (PCLs) and pancreatic duct communicate when other modalities (computed tomography, magnetic resonance imaging, and EUS) fail. However, complications after ERCP are still a risk that should not be ignored. In this study, we evaluated the value of EUS-guided SF6 pancreatography (ESP) for the diagnosis of PCLs focusing on pancreatic cyst communication with the pancreatic duct.

Patients and methods: We reviewed the database of medical records to retrieve the clinicopathological data of the patients with PCLs who had undergone ESP, and analyzed the diagnostic value of ESP to determine communication between the cyst and the pancreatic duct. The inclusion criteria were as follows: (1) PCLs were pathologically diagnosed by postsurgery specimen or through-the-needle biopsy and (2) ESP was performed to determine communication between the pancreatic cyst and the pancreatic duct.

Results: Pathological diagnosis confirmed communication with the pancreatic duct in all eight patients with positive pancreatography, among whom seven were branch-duct-intraductal papillary mucinous neoplasm (BD-IPMN) and one was the main duct-IPMN. Pathological diagnosis confirmed noncommunication with the pancreatic duct in 20 of the 21 patients with negative pancreatography, among whom 11 were mucinous cystic neoplasm, 7 were serous cystic neoplasm, 1 was solid pseudopapillary neoplasm, 1 was pancreatic pseudocyst, and 1 was BD-IPMN. The accuracy, sensitivity, specificity, positive predictive value, and negative predictive value of ESP to determine communication between the pancreatic cyst and the pancreatic duct were 96.6% (28/29), 88.9% (8/9), 100% (20/20), 100% (8/8), and 95.2% (20/21), respectively.

Conclusions: ESP achieved high accuracy to determine communication between the pancreatic cyst and the pancreatic duct.

Abstract Image

Abstract Image

EUS引导的SF6胰管造影对胰腺囊性病变的诊断价值。
背景和目的:当其他方式(计算机断层扫描、磁共振成像和EUS)失败时,ERCP仍然是确定胰腺囊性病变(PCLs)和胰管是否连通的可靠方法。然而,ERCP术后并发症仍然是一个不应忽视的风险。在本研究中,我们评估了EUS引导的SF6胰管造影(ESP)对PCLs的诊断价值,重点是胰腺囊肿与胰管的连通。患者和方法:我们查阅了病历数据库,检索了接受ESP的PCLs患者的临床病理数据,并分析了ESP的诊断价值,以确定囊肿和胰管之间的沟通。纳入标准如下:(1)PCL通过术后标本或针活检进行病理诊断;(2)进行ESP以确定胰腺囊肿和胰管之间的连通。结果:8例胰管造影阳性患者的病理诊断均证实与胰管相通,其中7例为分支管内乳头状黏液性肿瘤(BD-IPMN),1例为主管IPMN。在21例胰管造影阴性的患者中,20例经病理诊断与胰管未连通,其中11例为粘液性囊性肿瘤,7例为浆液性囊性瘤,1例为实体性假乳头状肿瘤,1例胰腺假性囊肿,1例BD-IPMN。ESP测定胰腺囊肿与胰管之间通讯的准确率、敏感性、特异性、阳性预测值和阴性预测值分别为96.6%(28/29)、88.9%(8/9)、100%(20/20)、100%(8/8)和95.2%(20/21)。结论:ESP对胰腺囊肿和胰管之间的通讯具有较高的准确性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
Endoscopic Ultrasound
Endoscopic Ultrasound GASTROENTEROLOGY & HEPATOLOGY-
CiteScore
6.20
自引率
11.10%
发文量
144
期刊介绍: Endoscopic Ultrasound, a publication of Euro-EUS Scientific Committee, Asia-Pacific EUS Task Force and Latin American Chapter of EUS, is a peer-reviewed online journal with Quarterly print on demand compilation of issues published. The journal’s full text is available online at http://www.eusjournal.com. The journal allows free access (Open Access) to its contents and permits authors to self-archive final accepted version of the articles on any OAI-compliant institutional / subject-based repository. The journal does not charge for submission, processing or publication of manuscripts and even for color reproduction of photographs.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信