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ultrasound
[view]
-->pancreatic tumor, acute/chronic pancreatitis,
[pros]
1. GB stone!
2. initial investgation for most patients "suspected" pancreatitis
[cons]
1. bowel gas, fat, and ascites limitation
CT
[view]
1.
-->pancreatic tumor, abscess, pseudocyst, calcification
[pros]
1.
2. dynamic CT for CTSI
3. spiral CT for rapid, clear, and negate artifact image
[cons]
1. hard to distingquish between inflammation and nepplasm
EUS
[view]
1. pancreatic duct and parenchyma
-->pancreatic calcification, CBD dilation, pseudocyst
[pros]
1. high-resolution
2. very good in "detecting" CBD stone
3. can do biopsy !
4. replace "diagnostic" purpose of ERCP, and no post-ERCP pancraetitis
[cons]
1. sen/spe under study
MRCP
[view]
intra/extrahepatic bile duct, pancreatic duct
[pros]
noninvasive, non-contrast-media, non-endoscopic procedure
[cons]
can't stent, stone extration, and biopsy
ERCP
[view]
[pros]
[cons]
5~20% post-ERCP pancreatitis
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