COMPARATIVE STUDY OF EUS AND ERCP IN DIAGNOSIS OF CHRONIC PANCREATITIS / 解放军医学杂志

ABSTRACT

The purpose of the present study was to assess the diagnostic value of endoscopic ultrasonography(EUS) and ERCP separately and their combination in chronic pancreatitis. There were 262 cases of chronic pancreatitis from January 1993 to May 2001 in our hospital. Among them 60 cases examined by ERCP and EUS were analyzed retrospectively. The constriction and dilatation of main pancreatic duct and pancreatic duct stones were found by EUS. In all, there were 49 patients who diagnosed chronic pancreatitis by EUS and the accuracy rate was 81 7%. On the other hand, there were 52 patients were diagnosed chronic pancreatitis by ERCP and the accuracy rate was 86 7%. There were also 6 patients who diagnosed by ERCP but undiagnosed by EUS, their coincidence rate was 90%. Furthermore, 59 patients were diagnosed by ERCP in combination with EUS and the accuracy rate was 98 3% ( vs sole ERCP or sole EUS respectively, P