By David C. Whitcomb MD PhD, Adam Slivka MD, Kenneth K. Lee
Problems of the pancreas have, some time past, been very challenging as the prognosis was once usually made past due during the affliction and no considerably useful interventions have been to be had. this case is quickly altering as new insights from a number of views are built-in and involved in each one step of this advanced methods. This factor of Gastroenterology Clinics of North the United States highlights a few components of speedy growth in inflammatory and neoplastic issues of the pancreas. each one bankruptcy represents the built-in wisdom and point of view of specialists within the box, and signify the freshest research of those cutting-edge methods to complicated matters within the overview and therapy of pancreatic issues.
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By using a pure-cut current, the thermal injury to the surrounding tissue may be decreased. The risk of bleeding complications may increase, however, with pure-cut current. A RCT of 111 patients (86 patients treated with pure-cut current and 84 with blended current) did show a statistically significant decrease in post-ERCP pancreatitis; 3% (3 of 86) in the pure-cut group developed pancreatitis compared with 12% (10 of 84) in the blended current group. In addition, none of the patients in the pure-cut group developed moderate to severe pancreatitis, whereas 30% of those in the blended group were graded as such .
Virchows Arch 2004;445(6):552–63.  Uchida K, Okazaki K, Konishi Y, et al. Clinical analysis of autoimmune-related pancreatitis. Am J Gastroenterol 2000;95(10):2788–94.  Ito T, Nakano I, Koyanagi S, et al. Autoimmune pancreatitis as a new clinical entity: three cases of autoimmune pancreatitis with effective steroid therapy. Dig Dis Sci 1997;42(7): 1458–68.  Horiuchi A, Kawa S, Hamano H, et al. ERCP features in 27 patients with autoimmune pancreatitis. Gastrointest Endosc 2002;55(4):494–9.
EUS–fine-needle 252 KRASINSKAS, RAINA, KHALID, ET AL aspiration, however, has a low sensitivity for pancreatic masses or lesions in the setting of chronic pancreatitis [79,80]. Can the yield of EUS–fine-needle aspiration be improved, especially in the setting of chronic pancreatitis? In addition to technical improvements, such as increasing the number of needle passes, repeating the EUS–fine-needle aspiration, using on-site cytology interpretation, and having an experienced pancreatic cytopathologist involved in the diagnosis , the addition of molecular tests to the cytologic samples may also be helpful.
Advances in the Diagnosis and Treatment of Pancreatic Diseases, An Issue of Gastroenterology Clinics Vol 36 Issue 2 by David C. Whitcomb MD PhD, Adam Slivka MD, Kenneth K. Lee