Diagnosis of acute and chronic pancreatitis and differential diagnosis / Монголын Анагаах Ухаан

Background Abdominal ultrasonography assesses the size, echotexture, shape, contour and adjacent structures of pancreas. Goal The goal of our study is to determining ultrasonography criteria of acute and chronic pancreatitis and developing algorithm of differential diagnosis. Objectives 1. To determine ultrasonography criteria of acute and chronic pancreatitis 2. To develop algorithms of differential diagnosis of acute and chronic pancreatitis Material and Method During the study period, 81 patients with acute pancreatitis, 66 patients with chronic pancreatitis has examined byultrasonography in Reference centre on Diagnostic Imaging named after R. Purev state laureate, people’s physician,hoporary professor of the State III nd Central Hospital,AchtanClinicalHospi tal,Central Clinic of Ulaanbaatar railway and Hepatological clinic centre of traditional medicine Result 48 (59.3%±5.5) patients with acute pancreatitis had reported pancreatic swelling /Exudative pancreatitis/, 18 (22.2%±466) had acute hemorrhagic pancreatitis, 15 (18.5%±463) had necrotizing pancreatitis. Conclusions 1. Determined ultrasonographic criteria of acute and chronic pancreatitis 2. Acute and chronic pancreatitis has diagnosed by ultrasonographic criteria and developed differential diagnosis algorithm.

X-ray symptoms of pancreatitis / Монголын Анагаах Ухаан

BACKGROUNDS: Abdominal X-ray findings of destructive acute pancreatitis are usually similar with intestinal obstruction x-ray sign. GOAL: The main goal of this study is detecting X-ray findings of pancreatitis depend on type of pancreatitis and location of the pathological abnormality. OBJECTIVES: 1. Determining pancreatitis x-ray findings depend on types of pancreatitis and pathologic abnormalities location. 2. Determining radiologic features of chronic pancreatitis MATERIALS AND METHODS: From2012 to 2014, 45 patients’ x-ray finding of pancreatitis have been analysed (31 patients with acute pancreatitis and 14 patients with chronic pancreatitis). All patients have diagnosis by clinical symptom, laboratory tests, ultrasound, celiacography, CT, MRI, ERCP, MRCP,citology and biopsy. RESULTS: X-ray findings of pancreatitis are associated with type of acute pancreatitis and location of pathologic abnormalities in the pancreas. CONCLUSION: 1. Patients with pancreatic tail swelling and deformity (acute pancreatitis), whose chest radiograph shows elevation of left hemi-diaphragm. Arka signs are seen level of L2 ,right side of the L2-L3, and stomach and upper part of the small intestine filled with gas, these recognized radiographic signs are associated with head of the pancreas destruction, which is caused by acute pancreatitis. 2. In our study, commonly recognized radiographic signs associated with chronic pancreatitis include with ascending colon and hepatic flexure are filled with gas, right part of transverse colon spasms, stomach and upper part of the small intestine filled with gas and small calcification in the pancreas