Analytical study of Endoscopic Ultrasound Findings in Patients with Chronic upper Abdominal pain of Unknown Etiology
Abstract
The aim of the study to Explore the utility of EUS in the evaluation of chronic upper abdominal pain of unknown etiology. This was a prospective observational descriptive study conducted in the department of gastroenterology in Tishreen University Hospital in 2021-2022. A total (40) patients suffering from chronic upper abdominal pain (more than six months, either the pain was persistent or intermittent) who previously underwent endoscopy and trans abdominal ultrasound and laboratory tests with normal results.The results showed that among (40) patients (20 M and 20 F) were included, 25 patients (62.5%) had normal finding in EUS, 4 patients (10%) had chronic pancreatitis grade I, 4 patients (10%) had chronic pancreatitis grade II, 2 patients (5%) had choledocholithiasis, 1 patient (2.5%) had small gallbladder stones, 1 patient (2.5%) had dilated common bile duct, 1 patient (2.5%) had acute pancreatitis, 2 patients (5%) had fatty pancreas. EUS was successful at diagnosing a new clinical etiology of chronic upper abdominal pain in 13 patients (32.5%). The most frequent diagnose was chronic pancreatitis grade I, II. And
The study Concluded that the Endoscopic ultrasound is a modern diagnostic tool which can detect pancreato-biliary pathologies, and despite of that a big number of patients UAP of unknown etiology will have no identifiable organic etiology found on EUS to explain their pain ; however, we suggest that EUS be considered in patients with suspected pancreatic or biliary pathology.
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