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만성 알코올성 췌장염이 의심되는 환자에서 내시경초음파의 진단적 가치
남승우,신기철,이재현,노임환,이만용,허재형,신현덕,장효식 대한소화기학회 2002 대한소화기학회지 Vol.39 No.2
Background/Aims: This study was to evaluate the usefulness of endoscopic ultrasonography (EUS) in diagnosing suspected chronic alcoholic pancreatitis. Methods: EUS was performed on 48 patients who underwent endoscopic retrograde pancreatography (ERP) for recurrent episodes of alcohol induced pancreatitis. According to the ERP findings, the patients were divided into two groups: the group I showing normal pancreatogram (n=18) and the group II showing abnormal dilatated pancreatogram of Cambridge classification II or higher (n=30). EUS evaluated parenchymal changes (inhomogeneity, interlobular septae, echogenic foci, pseudocyst) and ductal changes (dilatation, tortuosity, thickened wall, stone or calcification, and side branch ectasia). Results: Group I showed one or more abnormal parenchymal features were found in 17 patients (94.4%), two or more in 11 patients (61.1%), and three or more in 6 patients (33.3%). However, no abnormal ductal features were found in the Group I. In the group II, all patients had three or more abnormal EUS features. Conclusions: EUS shows definite parenchymal changes in patients suspected of having chronic alcoholic pancreatitis. Therefore, EUS can be an useful diagnostic tool in the early stage of chronic alcoholic pancreatitis.