Top Abstract Purchase Related
Home
>
Node
>
Subnode

Frequency and significance of inflammatory pancreatic duct changes in patients with upper abdominal pain of unknown origin

Arendt, R.; Zastrow, R.; Kröger, W.; Hauzeur, F.; Erdmann, K.

Deutsche Zeitschrift für Verdauungs- und Stoffwechselkrankheiten 42(4): 148-153

1982

ISSN/ISBN: 0012-1053
PMID: 7128518
Document Number: 193250
In 104 patients with longstanding abdominal pain of unknown origin endoscopic pancreatography was carried through after a thorough noninvasive exploration (Secretin-CCK-test included). Pancreatography revealed in 18% slight but distinct-pathological changes at the pancreatic duct system compatible with chronic pancreatitis. As the frequency of the pathological pancreatographic findings showed no correlation with duration of pain history but a significant correlation with age it is suggested that the duct changes encountered represent rather age-dependent irrelevant fibrosis of the pancreas tan clinically relevant chronic pancreatitis. Slight pathological duct changes are by themselves no proof of chronic pancreatitis because there is no possibility to discriminate between chronic pancreatitis and age-dependent fibrosis on the ground of pancreatography. ERP therefore is of little or no value in patients with otherwise insubstantial suspicion of chronic pancreatitis.

Document emailed within 1 workday
Secure & encrypted payments

Ariyama, J.; Ikenobu, H.; Kurozawa, A.; Kawai, S.; Shirota, K. 1977: Upper abdominal pain and a loss of weight and appetite (radiography of the pancreatic duct and abdominal angiography): (tumor of the pancreatic head--a tumor mainly of the uncinate process and multiple pancreatic cyst) Nihon Rinsho. Japanese Journal of Clinical Medicine 35(Suppl 2): 3106-3107; 3470-3471
Möllmann, K.M.; Bonnevie, O.; Gudbrand Höyer, E.; Wulff, H.R. 1975: A diagnostic study of patients with upper abdominal pain Scandinavian Journal of Gastroenterology 10(8): 805-809
Nijman, J.J. 1999: Non-cardiac chest pain of unknown origin: prevalence and natural course Nederlands Tijdschrift Voor Geneeskunde 143(2): 123
Mizuo, K.; Hashimoto, S.; Maki, M.; Kuwabara, D.; Masa, S. 1977: Sustained high fever, jaundice, upper abdominal pain, hepatomegaly and hemorrhagic tendency (blood culture and liver scintigraphy): (tumor of the pancreatic head and small multiple abscess of the liver) Nihon Rinsho. Japanese Journal of Clinical Medicine 35(Suppl 2): 3240
Lygidakis, N.J.; Papadopoulou, P. 1995: Pancreatic head carcinoma: is pancreatic resection indicated for patients with stage III pancreatic duct cancer? Hepato-Gastroenterology 42(5): 587-596
Baral, B.K.; Bhattarai, B.K.; Rahman, T.R.; Singh, S.N.; Regmi, R. 2010: Perioperative intravenous lidocaine infusion on postoperative pain relief in patients undergoing upper abdominal surgery Nepal Medical College Journal: Nmcj 12(4): 215-220
Mitsuhata, H.; Matsumoto, S.; Hasegawa, J. 1992: Intravenous patient-controlled analgesia with pethidine for the treatment of postoperative pain in patients undergoing upper abdominal surgery Masui. Japanese Journal of Anesthesiology 41(1): 92-99
Realdi, G.; Fabris, F.; Giannini, S.; Randi, M.Luigia.; Donà, G.; Rugge, M. 2004: Fever of unknown origin and monoclonal gammapathy with unclear significance. Report of 2 cases with different pathology and clinical course Annali Italiani di Medicina Interna: Organo Ufficiale Della Societa Italiana di Medicina Interna 19(3): 214-229
Furukawa, Y. 1985: Early diagnosis of pancreatic cancer by routine CT scanning; significance of the pancreatic bile duct scanning Gan to Kagaku Ryoho. Cancer and ChemoTherapy 12(2): 200-211
Rungsinaporn, K.; Phaisakamas, T. 2008: Frequency of abnormalities detected by upper abdominal ultrasound Journal of the Medical Association of Thailand 91(7): 1072-1075
Sato, Y.; Yamamoto, S.; Oya, H.; Kobayashi, T.; Kokai, H.; Hanyu, O.; Hirota, M.; Hatakeyama, K. 2009: A complete physiological orthotopic living related partial pancreatic transplantation alone with pancreatic duct to duct anastomosis for type i diabetes mellitus Hepato-Gastroenterology 56(89): 249-251
Corsois, L.; Ouraghi, A.; Laberenne, J.E.; Lecomte-Houcke, M.; Maunoury, V.; Triboulet, J.P.; Fougnies, J.L.; Boruchowicz, A. 1999: Chronic obstructive pancreatitis in apparently primary calcified pancreatic lithiasis revealed by abdominal pain: a symptomatic form of the pancreas in aged patients? Gastroenterologie Clinique et Biologique 23(1): 148-150
Ruinemans, G.M.F.; van Zanten, R.A.A.; Rakic, S.; van den Hout, J.H.W.; Veneman, T.F. 2006: Abdominal pain following placement of an endoprosthesis in the biliary duct Nederlands Tijdschrift Voor Geneeskunde 150(26): 1466-1469
Kruth, J.; Michaely, H.; Trunk, M.; Niedergethmann, M.; Rupf, A-Katrin.; Krämer, B.K.; Göttmann, U. 2012: A rare case of fever of unknown origin: inflammatory myofibroblastic tumor of the liver. Case report and review of the literature Acta Gastro-Enterologica Belgica 75(4): 448-453
Weisser, B.; Vetter, H. 1988: Upper abdominal pain Schweizerische Rundschau für Medizin Praxis 77(23): 644-646
Freling, H.G.; Swartbol, P.; Veneman, T.F. 2016: Abdominal pain with a remarkable origin Netherlands Journal of Medicine 74(6): 270
Lin, J.T.; Sheu, J.C.; Wang, T.H.; Chuang, C.N.; Mo, L.J.; Yang, P.M.; Chen, D.S.; Sung, J.L. 1985: Ultrasonic measurement of the main pancreatic duct in healthy adults and patients with ampullary-pancreatic disorders Journal of the Formosan Medical Association 84(2): 212-221
Saes, L.; van Lom, K.; Slobbe, L. 2015: A man with upper abdominal pain and a pancytopenia Nederlands Tijdschrift Voor Geneeskunde 159: A8502
Baumgart, P.; Vetter, H. 1985: Upper abdominal pain, hepatomegaly, fever Schweizerische Rundschau für Medizin Praxis 74(34): 890-893
Aufschnaiter, M. 1981: The sonographic evaluation of upper abdominal pain Zfa. Zeitschrift für Allgemeinmedizin 57(27): 1790-1791