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  1. Article ; Online: Pancreatic Tuberculosis Diagnosed by EUS

    Haydeh Vafa / Marianna Arvanitakis / Pierre Eisendrath / Jacques Deviere / Myriam Delhaye / Celso Matos / Pieter Demetter / Emmanuel Toussaint / Axel-Benoit Hittelet

    JOP Journal of the Pancreas, Vol 14, Iss 3, Pp 256-

    One Disease, Many Faces

    2013  Volume 260

    Abstract: Context Pancreatic/para-pancreatic tuberculosis is an extremely rare clinical entity even in endemic regions. It can present as a cystic or solid pancreatic mass mimicking pancreatic malignancy. There are no specific imaging criteria and the clinical ... ...

    Abstract Context Pancreatic/para-pancreatic tuberculosis is an extremely rare clinical entity even in endemic regions. It can present as a cystic or solid pancreatic mass mimicking pancreatic malignancy. There are no specific imaging criteria and the clinical symptoms remain vague. Therefore, most cases are diagnosed after surgical exploration for presumed pancreatic neoplasia. Case report We report five cases of pancreatic tuberculosis each time with a different clinical presentation, in an occidental country setting where the diagnosis was done by EUS guided FNA (EUS-FNA). Conclusion EUS-FNA is a safe and promising technique for the diagnosis of pancreatic/para-pancreatic tuberculosis, avoiding unnecessary surgery.
    Keywords Biopsy ; Fine-Needle ; Endosonography ; Pancreas ; Tuberculosis ; Medicine ; R ; Internal medicine ; RC31-1245 ; Specialties of internal medicine ; RC581-951 ; Diseases of the digestive system. Gastroenterology ; RC799-869
    Publishing date 2013-05-01T00:00:00Z
    Publisher E S Burioni Ricerche Bibliografiche
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: Carbon dioxide for gut distension during digestive endoscopy

    Filip Janssens, Jacques Deviere, Pierre Eisendrath, Jean-Marc Dumonceau

    World Journal of Gastroenterology, Vol 15, Iss 12, Pp 1475-

    Technique and practice survey

    2009  Volume 1479

    Abstract: AIM: To assess the adoption of Carbon dioxide (CO2) insufflation by endoscopists from various European countries, and its determinants.METHODS: A survey was distributed to 580 endoscopists attending a live course on digestive endoscopy.RESULTS: The ... ...

    Abstract AIM: To assess the adoption of Carbon dioxide (CO2) insufflation by endoscopists from various European countries, and its determinants.METHODS: A survey was distributed to 580 endoscopists attending a live course on digestive endoscopy.RESULTS: The response rate was 24.5%. Fewer than half the respondents (66/142, 46.5%) were aware of the fact that room air can be replaced by CO2 for gut distension during endoscopy, and 4.2% of respondents were actually using CO2 as the insufflation agent. Endoscopists aware of the possibility of CO2 insufflation mentioned technical difficulties in implementing the system and the absence of significant advantages of CO2 in comparison with room air as barriers to adoption in daily practice (84% and 49% of answers, respectively; two answers were permitted for this item).CONCLUSION: Based on this survey, adoption of CO2 insufflation during endoscopy seems to remain relatively exceptional. A majority of endoscopists were not aware of this possibility, while others were not aware of recent technical developments that facilitate CO2 implementation in an endoscopy suite.
    Keywords Colonoscopy ; Practice survey ; Carbon dioxide ; Digestive endoscopy ; Diseases of the digestive system. Gastroenterology ; RC799-869 ; Specialties of internal medicine ; RC581-951 ; Internal medicine ; RC31-1245 ; Medicine ; R ; DOAJ:Gastroenterology ; DOAJ:Medicine (General) ; DOAJ:Health Sciences
    Language English
    Publishing date 2009-03-01T00:00:00Z
    Publisher Baishideng Publishing Group Co. Limited
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Endoscopic ultrasound elastography for evaluation of lymph nodes and pancreatic masses

    Marc Giovannini, Thomas Botelberge, Erwan Bories, Christian Pesenti, Fabrice Caillol, Benjamin Esterni, Geneviève Monges, Paolo Arcidiacono, Pierre Deprez, Robert Yeung, Walter Schimdt, Hanz Schrader, Carl Szymanski, Christoph Dietrich, Pierre Eisendrath

    World Journal of Gastroenterology, Vol 15, Iss 13, Pp 1587-

    A multicenter study

    2009  Volume 1593

    Abstract: AIM: To evaluate the ability of endoscopic ultrasound (EUS) elastography to distinguish benign from malignant pancreatic masses and lymph nodes.METHODS: A multicenter study was conducted and included 222 patients who underwent EUS examination with ... ...

    Abstract AIM: To evaluate the ability of endoscopic ultrasound (EUS) elastography to distinguish benign from malignant pancreatic masses and lymph nodes.METHODS: A multicenter study was conducted and included 222 patients who underwent EUS examination with assessment of a pancreatic mass (n = 121) or lymph node (n = 101). The classification as benign or malignant, based on the real time elastography pattern, was compared with the classification based on the B-mode EUS images and with the final diagnosis obtained by EUS-guided fine needle aspiration (EUS-FNA) and/or by surgical pathology. An interobserver study was performed.RESULTS: The sensitivity and specificity of EUS elastography to differentiate benign from malignant pancreatic lesions are 92.3% and 80.0%, respectively, compared to 92.3% and 68.9%, respectively, for the conventional B-mode images. The sensitivity and specificity of EUS elastography to differentiate benign from malignant lymph nodes was 91.8% and 82.5%, respectively, compared to 78.6% and 50.0%, respectively, for the B-mode images. The kappa coefficient was 0.785 for the pancreatic masses and 0.657 for the lymph nodes.CONCLUSION: EUS elastography is superior compared to conventional B-mode imaging and appears to be able to distinguish benign from malignant pancreatic masses and lymph nodes with a high sensitivity, specificity and accuracy. It might be reserved as a second line examination to help characterise pancreatic masses after negative EUS-FNA and might increase the yield of EUS-FNA for lymph nodes.
    Keywords Endoscopic ultrasound ; Elasticity coefficient ; Elastography ; Pancreatic mass ; Lymph node ; Diseases of the digestive system. Gastroenterology ; RC799-869 ; Specialties of internal medicine ; RC581-951 ; Internal medicine ; RC31-1245 ; Medicine ; R ; DOAJ:Gastroenterology ; DOAJ:Medicine (General) ; DOAJ:Health Sciences
    Subject code 610
    Language English
    Publishing date 2009-04-01T00:00:00Z
    Publisher Baishideng Publishing Group Co. Limited
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: Endoscopic ultrasound elastography for evaluation of lymph nodes and pancreatic masses: a multicenter study.

    Giovannini, Marc / Thomas, Botelberge / Erwan, Bories / Christian, Pesenti / Fabrice, Caillol / Benjamin, Esterni / Geneviève, Monges / Paolo, Arcidiacono / Pierre, Deprez / Robert, Yeung / Walter, Schimdt / Hanz, Schrader / Carl, Szymanski / Christoph, Dietrich / Pierre, Eisendrath / Jean-Luc, Van Laethem / Jacques, Devière / Peter, Vilmann / Andrian, Saftoiu

    World journal of gastroenterology

    2009  Volume 15, Issue 13, Page(s) 1587–1593

    Abstract: Aim: To evaluate the ability of endoscopic ultrasound (EUS) elastography to distinguish benign from malignant pancreatic masses and lymph nodes.: Methods: A multicenter study was conducted and included 222 patients who underwent EUS examination with ... ...

    Abstract Aim: To evaluate the ability of endoscopic ultrasound (EUS) elastography to distinguish benign from malignant pancreatic masses and lymph nodes.
    Methods: A multicenter study was conducted and included 222 patients who underwent EUS examination with assessment of a pancreatic mass (n = 121) or lymph node (n = 101). The classification as benign or malignant, based on the real time elastography pattern, was compared with the classification based on the B-mode EUS images and with the final diagnosis obtained by EUS-guided fine needle aspiration (EUS-FNA) and/or by surgical pathology. An interobserver study was performed.
    Results: The sensitivity and specificity of EUS elastography to differentiate benign from malignant pancreatic lesions are 92.3% and 80.0%, respectively, compared to 92.3% and 68.9%, respectively, for the conventional B-mode images. The sensitivity and specificity of EUS elastography to differentiate benign from malignant lymph nodes was 91.8% and 82.5%, respectively, compared to 78.6% and 50.0%, respectively, for the B-mode images. The kappa coefficient was 0.785 for the pancreatic masses and 0.657 for the lymph nodes.
    Conclusion: EUS elastography is superior compared to conventional B-mode imaging and appears to be able to distinguish benign from malignant pancreatic masses and lymph nodes with a high sensitivity, specificity and accuracy. It might be reserved as a second line examination to help characterise pancreatic masses after negative EUS-FNA and might increase the yield of EUS-FNA for lymph nodes.
    MeSH term(s) Endosonography/methods ; Female ; Humans ; Lymph Nodes/diagnostic imaging ; Lymph Nodes/pathology ; Male ; Middle Aged ; Pancreatic Neoplasms/diagnostic imaging ; Pancreatic Neoplasms/pathology ; Sensitivity and Specificity
    Language English
    Publishing date 2009-04-02
    Publishing country United States
    Document type Journal Article ; Multicenter Study
    ZDB-ID 2185929-2
    ISSN 2219-2840 ; 1007-9327
    ISSN (online) 2219-2840
    ISSN 1007-9327
    DOI 10.3748/wjg.15.1587
    Database MEDical Literature Analysis and Retrieval System OnLINE

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