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Middle East Journal of Digestive Diseases، جلد ۱۶، شماره ۳، صفحات ۱۵۵-۱۵۹
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عنوان انگلیسی Different Etiologies of Dilated Pancreatic Duct Based on Endoscopic Ultrasonography Findings
چکیده انگلیسی مقاله Background: Pancreatic duct (PD) dilation could be presented in both benign and malignant diseases. Endoscopic ultrasonography (EUS) is a sensitive modality that provides both structural assessment and tissue sampling. This study aims to explore the importance of PD dilation as a potential indicator related to various pancreatobiliary pathologies identified via  EUS. Methods: Among 3109 subjects who underwent EUS, 599 had evidence of dilated PD and met the inclusion criteria of this retrospective study. Also, the patients underwent EUS fine needle aspiration (EUS-FNA) to evaluate the etiology when required. All data were extracted from patients’ medical records to perform statistical analysis. Results: The study sample revealed 64% being male with a median age was 65-years. Pancreatic adenocarcinoma was the most common etiology diagnosed in 236 patients (39.4%), followed by sphincter of Oddi dysfunction (SOD) in 13% of subjects. Ampullary carcinoma, common ‎bile duct stone, and cholangiocarcinoma were found at 9.5%,  8.8%, and 6.8%, respectively. Abdominal pain was the most common symptom seen in 440 (73.4%) patients. Opium consumption was reported in 170 (28.4%) subjects. ‎Opium consumption was significantly more prevalent in patients with SOD (P<0.05). Conclusion: We suggest that PD dilation could be associated with a wide range of pancreaticobiliary pathologies, especially pancreatic neoplasms. In this regard, PD dilation should be considered as a crucial indicator of pancreatic neoplasm despite it may be associated with no clear etiologies.
کلیدواژه‌های انگلیسی مقاله Pancreatic duct,Dilation,Neoplasm,Adenocarcinoma,Endoscopic ultrasonography
نویسندگان مقاله | Elham Sobhrakhshankhah


| Farhad Zamani


| Hossein Ajdarkosh


| Behdad Behnam


| Amirhossein Faraji


| Mahmoodreza Khoonsari


| Mehdi Nikkhah


| Ali Ajdarkosh


| Fahimeh Safarnezhad Tameshkel


| Dhayaneethie Perumal


نشانی اینترنتی http://mejdd.org/index.php/mejdd/article/view/3002
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زبان مقاله منتشر شده en
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نوع مقاله منتشر شده Original Article
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