Criteri EUS per pancreatite cronica: convenzionali vs Rosemont

EUS Diagnostic Criteria for Chronic Pancreatitis: A Comparison of Conventional Versus Rosemont Criteria. D'Souza SL, Anderson MA, Korsnes SJ, Elmunzer BJ, Piraka C, Menees S, Wamsteker EJ, Kwon RS, Scheiman JM, Elta GH.Dig Dis Sci. 2015 Jul 21. [Epub ahead of print]

OBJECTIVE:To compare the Rosemont criteria, which are graded features chosen by experts in 2007, versus the conventional criteria, which require ≥3-5 of the 9 features that are "counted as equal," for the diagnosis of chronic pancreatitis by EUS.

 

METHODS:This is a retrospective cohort study. EUS examinations were scored using both criteria, and the following categories compared: 3-CC versus "consistent with" chronic pancreatitis by RC; 3-CC versus "consistent with" and "suggestive of" chronic pancreatitis by RC; 5-CC versus "consistent with" chronic pancreatitis by RC; and 5-CC versus "consistent with" and "suggestive of" chronic pancreatitis by RC.

RESULTS:There was a statistically significant difference between 3-CC and RC, either "consistent with" alone or both "consistent with" and "suggestive of" (p < 0.0001). Comparing 5-CC and "consistent with" showed a statistical difference (p = 0.0014), but no difference comparing 5-CC to "consistent with" and "suggestive of."

CONCLUSION:CC diagnose more cases of chronic pancreatitis than RC when using 3-CC or when comparing 5-CC to "consistent with" chronic pancreatitis by Rosemont, indicating that the Rosemont criteria are more stringent. Leggi l'articolo

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