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Controversies and Limitations of Ultrasonography in Acute Pancreatitis

  • W. Swobodnik
Conference paper

Abstract

During the past 20 years the importance of ultrasonography as a diagnostic imaging procedure in acute pancreatitis has increased dramatically. This in part is due to the lack of invasiveness and high cost effectiveness ratio of this diagnostic modality. Unfortunately ultrasound is examiner dependent, resulting in different estimations of its diagnostic valency depending on the skill and expertise of the sonographer. The purpose of this presentation is the evaluation of limitations of sonography in acute pancreatitis.

Keywords

Acute Pancreatitis Pancreatic Pseudocysts Of99 Case Pancreatic Fluid Collection Complicated Cyst 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
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References

  1. 1.
    Lawson TL (1983) Acute pancreatitis and its complications. Computed tomography and sonography. Radiol Clin North Am 21: 3495–513Google Scholar
  2. 2.
    Arger PH, Mulhern CB, Bonavita JA et al. (1979) An analysis of pancreatic sonography in suspected pancreatic disease. J Clin Ultrasound 7: 91–97PubMedCrossRefGoogle Scholar
  3. 3.
    Husband JE, Meire HB, Kreel L et al. (1977) Comparison of ultrasound and computer-assisted tomography in pancreatic diagnosis. Br J Radiol 50: 855PubMedCrossRefGoogle Scholar
  4. 4.
    Levitt RG, Geisse GG, Sagel SS et al. (1978) Complementary use of ultrasound and computed tomography in studies of the pancreas and kidney. Radiology 126: 149PubMedGoogle Scholar
  5. 5.
    Pochhammer T, Sz’ekessy T (1982) Sonographie and Pancreaslänge. Ultraschall 3: 2–3CrossRefGoogle Scholar
  6. 6.
    Silverstein W, Isikoff MB, Barkin J (1981) Diagnostic imaging of acute pancreatitis: prospective study using CT and sonography. AJR 137: 497–502Google Scholar
  7. 7.
    Braun B (1980) Sonographische Untersuchungen bei akuter Pancreatitis. In: Schönborn H, Neher M, Schuster HP et al. (eds) (1980) Intensivmedizin bei gastroenterologischen Erkrankungen. Thieme, StuttgartGoogle Scholar
  8. 8.
    Neff CC, Ferrucci JT (1984) Pancreatitis. Surg Clin North Am 64 /1: 23–36PubMedGoogle Scholar
  9. 9.
    McKay AJ, Imrie CW, O’Neill J et al. (1982) Is an early ultrasound scan of value in acute pancreatitis? Br J Surg 69: 369–372PubMedCrossRefGoogle Scholar
  10. 10.
    Hill MC (1982) Pancreatic sonography: an update. In: Sanders RC (ed) Ultrasound annual. Raven, New YorkGoogle Scholar
  11. 11.
    Lawson TL (1978) Sensitivity of pancreatic ultrasonography in the detection of pancreatic disease. Radiology 128: 733–736PubMedGoogle Scholar
  12. 12.
    Huck L, Knop P, Hausamen TU (1981) Sonographische Pankreasdiagnose bei unklaren Oberbauchbeschwerden. Dtsch Med Wochenschr 106: 71–76PubMedCrossRefGoogle Scholar
  13. 13.
    Fleischer AC, Parker P, Kirchner SG et al. (1983) Sonographie findings of pancreatitis in children. Radiology 146: 151–155PubMedGoogle Scholar
  14. 14.
    Burrell M, Gold JA, Simeone J et al. (1980) Liquefactive necrosis of the pancreas. Radiology 135: 157–160PubMedGoogle Scholar
  15. 15.
    Schoelmerich J, Volk BA, Grünholz J et al. (1983) Die Bedeutung sonographischer Verlaufskontrollen bei der akuten Pankreatitis. Ultraschall 4: 31–36CrossRefGoogle Scholar
  16. 16.
    Hashimoto BE, Laing FC, Jeffrey RB et al. (1984) Hemorrhagic pancreatic fluid collections examined by ultrasound. Radiology 150: 803–808PubMedGoogle Scholar
  17. 17.
    Duncan JG, Imrie CW, Blumgart LH (1976) Ultrasound in the management of acute pancreatitis. Br J Radiol 49: 858–862PubMedCrossRefGoogle Scholar
  18. 18.
    Gonzales AC, Bradley EL, Clements Jr JL (1976) Pseudocyst formation in acute pancreatitis: ultrasonographic evaluation of 99 cases. A JR 127: 315–317Google Scholar
  19. 19.
    Kressel HY, Margulis AR, Gooding GW et al. (1978) CT scanning and ultrasound in the evaluation of pancreatic pseudocysts: a preliminary comparison. Radiology 126: 153–157PubMedGoogle Scholar
  20. 20.
    Foley WD, Stewart ET, Lawson TL et al. (1980) Computed tomography, ultrasonography and endoscopic retrograde cholangio–pancreatography in the diagnosis of pancreatic disease: a comparative study. Gastrointest Radiol 5: 29–35PubMedCrossRefGoogle Scholar
  21. 21.
    Williford ME, Foster WL, Halvorsen RA et al. (1983) Pancreatic pseudocyst: comparative evaluation by sonography and computed tomography. AJR 140: 53–57Google Scholar
  22. 22.
    Donovan PJ, Sanders RC, Siegelman SS (1982) Collections of fluid after pancreatitis: evaluation by computed tomography and ultrasonography. Radiol Clin North Am 20/4:653– 665Google Scholar
  23. 23.
    Bradley EL, Gonzales AC, Clements Jr JL (1976) Acute pancreatic pseudocysts: incidence and implications. Ann Surg 184: 734–737PubMedCrossRefGoogle Scholar
  24. 24.
    Hunter TB, Haber K, Pond GD (1982) Phlegmon of the pancreas. Am J Gastroenterol 77/ 12: 949–952Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1986

Authors and Affiliations

  • W. Swobodnik
    • 1
  1. 1.Internal Medicine II University of UlmUlmGermany

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