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DOI: 10.1055/a-2336-1700
Transabdominal ultrasound for the diagnostic workup of parenchymal pancreatic diseases
Article in several languages: English | deutschAbstract
This continuing medical education article highlights the central role of transcutaneous sonography in diagnosing parenchymal pancreatic diseases. It emphasizes the importance of in-depth knowledge of sonographic imaging of organ anatomy and a structured examination methodology, particularly for identifying acute and chronic pancreatitis and related complications. The article provides detailed guidance for optimized examination techniques and equipment settings, even under challenging conditions, and discusses the application of ultrasound in various scenarios of pancreatic diseases. Moreover, the relevance of advanced sonographic techniques such as high-frequency sonography, elastography, and contrast-enhanced sonography is illuminated in the context of expanded diagnostic workup.
Publication History
Article published online:
20 June 2024
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Literatur
- 1 Beyer G, Hoffmeister A, Michl P. et al. S3-Leitlinie Pankreatitis – Leitlinie der Deutschen Gesellschaft für Gastroenterologie, Verdauungs- und Stoffwechselkrankheiten (DGVS) – September 2021 – AWMF Registernummer 021-003. Z Gastroenterol 2022; 60 (03) 419-521
- 2 https://www.degum.de/fachgebiete/sektionen/innere-medizin/kurscurriculum/grundkurse.html
- 3 Dimcevski G, Erchinger FG, Havre R. et al. Ultrasonography in diagnosing chronic pancreatitis: new aspects. World J Gastroenterol 2013; 19 (42) 7247-7257
- 4 Karlas T, Blank V, Trenker C. et al. Ultraschallgeräte für die abdominelle Diagnostik: neue Techniken und Applikationen – Was gibt es? Was ist möglich? Was ist sinnvoll?. Z Gastroenterol 2023; 61 (09) 1235-1245
- 5 Miyake H, Sakagami J, Yasuda H. et al. Association of fatty pancreas with pancreatic endocrine and exocrine function. PLoS One 2018; 13 (12) e0209448
- 6 Möller K, Jenssen C, Braden B. et al. Pancreatic changes with lifestyle and age: What is normal and what is concerning?. Endosc Ultrasound 2023; 12 (02) 213-227
- 7 Sienz M, Ignee A, Dietrich CF. Normwerte in der Abdomensonografie – biliopankreatisches System und Milz. Zeitschrift für Gastroenterologie 2011; 49 (07) 845-870
- 8 Möller K, Jenssen C, Ignee A. et al. Pancreatic duct imaging during aging. Endosc Ultrasound 2023; 12 (02) 200-212
- 9 Rickes S, Treiber G, Mönkemüller K. et al. Impact of the operator’s experience on value of high-resolution transabdominal ultrasound in the diagnosis of choledocholithiasis: a prospective comparison using endoscopic retrograde cholangiography as the gold standard. Scand J Gastroenterol 2006; 41 (07) 838-843
- 10 Chen SE, Iqbal Q, Mallappa S. Acute Gallstone Pancreatitis: If a Picture Is Worth a Thousand Words, How Many Images Do We Need?. Cureus 2023; 15 (01) e33666
- 11 Sarner M, Cotton PB. Classification of pancreatitis. Gut 1984; 25 (07) 756-759
- 12 Ge Q-C, Dietrich CF, Bhutani MS. et al. Comprehensive review of diagnostic modalities for early chronic pancreatitis. World J Gastroenterol 2021; 27 (27) 4342-4357
- 13 Nordaas IK, Engjom T, Gilja OH. et al. Diagnostic Accuracy of Transabdominal Ultrasound and Computed Tomography in Chronic Pancreatitis: A Head-to-Head Comparison. Ultrasound Int Open 2021; 7 (01) E35-E44
- 14 Engjom T, Pham KD-C, Erchinger F. et al. Gute Übereinstimmung des transabdominalen und endoskopischen Ultraschalls der Bauchspeicheldrüse bei chronischer Pankreatitis. Ultraschall in Med (Stuttgart, Germany 1980) 2019; 40 (05) 609-617
- 15 Issa Y, Kempeneers MA, van Santvoort HC. et al. Diagnostic performance of imaging modalities in chronic pancreatitis: a systematic review and meta-analysis. Eur Radiol 2017; 27 (09) 3820-3844
- 16 Dong Y, D’Onofrio M, Hocke M. et al. Autoimmune pancreatitis: Imaging features. Endoscopic ultrasound 2018; 7 (03) 196-203
- 17 Sidhu PS, Cantisani V, Dietrich CF. et al. Die EFSUMB-Leitlinien und Empfehlungen für den klinischen Einsatz des kontrastverstärkten Ultraschalls (CEUS) bei nicht-hepatischen Anwendungen: Update 2017 (Kurzversion). Ultraschall in der Medizin (Stuttgart, Germany 1980) 2018; 39 (02) 154-180
- 18 Engjom T, Erchinger F, Lærum BN. et al. Ultrasound echo-intensity predicts severe pancreatic affection in cystic fibrosis patients. PLoS One 2015; 10 (03) e0121121
- 19 Okaniwa S. Role of transabdominal ultrasound in the diagnosis of autoimmune pancreatitis. J Med Ultrason (2001) 2021; 48 (04) 525-536
- 20 Burr ML, Samloff IM, Bates CJ. et al. Atrophic gastritis and vitamin C status in two towns with different stomach cancer death-rates. Br J Cancer 1987; 56 (02) 163-167
- 21 Golea A, Badea R, Socaciu M. et al. Quantitative analysis of tissue perfusion using contrast-enhanced transabdominal ultrasound (CEUS) in the evaluation of the severity of acute pancreatitis. Med Ultrason 2010; 12 (03) 198-204
- 22 Cai D, Parajuly SS, Wang H. et al. Accuracy of contrast-enhanced ultrasound compared with conventional ultrasound in acute pancreatitis: Diagnosis and complication monitoring. Exp Ther Med 2016; 12 (05) 3189-3194
- 23 Francica G. Intracavitary contrast-enhanced ultrasound in ultrasound-guided percutaneous management of abdominal fluid collections/abscesses by a single clinician: an example of point-of-care ultrasound. J Ultrasound 2020; 23 (02) 175-181
- 24 Cerrito L, Ainora ME, Di Francesco S. et al. The Role of Contrast-Enhanced Ultrasound (CEUS) in the Detection of Neoplastic Portal Vein Thrombosis in Patients with Hepatocellular Carcinoma. Tomography (Ann Arbor, Mich.) 2023; 9 (05) 1976-1986
- 25 Wang Y, Li G, Yan K. et al. Clinical value of contrast-enhanced ultrasound enhancement patterns for differentiating solid pancreatic lesions. Eur Radiol 2022; 32 (03) 2060-2069
- 26 Paratore M, Garcovich M, Ainora ME. et al. Dynamic contrast enhanced ultrasound in gastrointestinal diseases: A current trend or an indispensable tool?. World journal of gastroenterology 2023; 29 (25) 4021-4035
- 27 Săftoiu A, Gilja OH, Sidhu PS. et al. Die EFSUMB-Leitlinien und Empfehlungen für die klinische Praxis der Elastografie bei nichthepatischen Anwendungen: Update 2018. Ultraschall in Med (Stuttgart, Germany 1980) 2019; 40 (04) 425-453
- 28 Sezgin O, Yaraş S, Özdoğan O. Pancreatic Steatosis Is Associated with Both Metabolic Syndrome and Pancreatic Stiffness Detected by Ultrasound Elastography. Dig Dis Sci 2022; 67 (01) 293-304
- 29 Kuwahara T, Hirooka Y, Kawashima H. et al. Usefulness of shear wave elastography as a quantitative diagnosis of chronic pancreatitis. J Gastroenterol Hepatol 2018; 33 (03) 756-761
- 30 Paratore M, Garcovich M, Ainora ME. et al. The Role of Transabdominal Ultrasound Elastography in Gastrointestinal Non-Liver Diseases: Current Application and Future Prospectives. Diagnostics (Basel) 2023; 13 (13)
- 31 Suzuki H, Ishikawa T, Ohno E. et al. An initial trial of quantitative evaluation of autoimmune pancreatitis using shear wave elastography and shear wave dispersion in transabdominal ultrasound. Pancreatology 2021; 21 (04) 682-687
- 32 Huang Y, Shi J, Chen Y-Y. et al. Ultrasound-Guided Percutaneous Core Needle Biopsy for the Diagnosis of Pancreatic Disease. Ultrasound Med Biol 2018; 44 (06) 1145-1154
- 33 Szakó L, Mátrai P, Hegyi P. et al. Endoscopic and surgical drainage for pancreatic fluid collections are better than percutaneous drainage: Meta-analysis. Pancreatology 2020; 20 (01) 132-141
- 34 DEGUM Abdomen-Curriculum. 2023 https://www.degum.de/fachgebiete/sektionen/innere-medizin/kurscurriculum.html
- 35 Blank V, Gößmann H, Karlas T. Bildgebende Diagnostik bei chronischer Pankreatitis. Der Internist 2021; 62 (10) 1015-1024