85 research outputs found
Prevalencia y factores de riesgo para Pancreatitis Crónica en sujetos que padecen Dispepsia tipo Sindrome de Dolor Epigastrico
Nuestro objetivo es evaluar la frecuencia de los cambios morfológicos y funcionales de Pancreatitis Crónica (PC) en pacientes con Síndrome de Dolor Epigástrico (SDE) y analizar los factores de riesgo asociados a estos cambios. Se incluyeron 213 pacientes con SDE a los cuales se les realiza una Ecoendoscopia (EE) y se agrupan en función de la presencia de criterios ecoendoscópicos para PC en tres grupos. 0-2 criterios: no PC; 3-4 criterios: sospecha de PC; ≥5 criterios: PC. Los pacientes con 3-4 criterios realizan sCPRM y ePFT para confirmar PC. 45 pacientes (21.1%) tenían cambios morfológicos y funcionales concordantes con PC. En análisis multivariante, el sexo masculino y la combinación de tabaco y alcohol se asociaron al diagnóstico de PC. Se realiza seguimiento a largo plazo con EE (8-10 años) en 25 de 45 pacientes. De ellos, 19 progresaban o mantenían los criterios por EE. Ninguno precisó de ingreso hospitalario por complicaciones
Endoscopic ultrasonography: Enhancing diagnostic accuracy
Endoscopic ultrasound (EUS) is an essential technique for the management of several diseases. Over the years, new technologies have been developed because to improve and overcome certain limitations related to EUS guided tissue acquisition. Among these new methods, EUS guided elastography and contrast enhanced EUS has arisen as the most widely recognized and available. We will review in this manuscript the different techniques of elastography and contrast enhancement. Nowadays, there are well establish indications for advance imaging, mainly for supporting the management of pancreatic diseases (diagnosis of chronic pancreatitis and differential diagnosis of solid and cystic pancreatic tumors) and characterization of lymph nodes. However, there are more data on new potential indications for the near futureS
The role of endoscopic ultrasound guided fine needle aspiration (EUS-FNA) in non small cell lung cancer (NSCLC) patients: SEED-SEPD-AEG Joint Guideline
Potential biomarkers of progression and response to treatment in unresectable pancreatic cancer on tissue samples obtained by endoscopic ultrasound guided fine needle biopsy (eus-fnb)
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