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EUS Diagnostic Criteria for Chronic Pancreatitis: A Comparison of Conventional Versus Rosemont Criteria

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Abstract

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.

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Abbreviations

EUS:

Endoscopic ultrasound

CC:

Conventional criteria

RC:

Rosemont criteria

MPD:

Main pancreatic duct

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Authors and Affiliations

  1. Division of Gastroenterology, Department of Internal Medicine, Oregon Health & Science University, Portland Veterans Administration Healthcare System, 3710 SW U.S. Veterans Hospital Rd., P3GI, Portland, OR, 97230, USA

    Sharlene L. D’Souza

  2. Division of Gastroenterology, Department of Internal Medicine, University of Michigan Health System, 1500 E. Medical Center Drive, 3912 Taubman Center, Ann Arbor, MI, 48109-5362, USA

    Michelle A. Anderson, Sheryl J. Korsnes, B. Joseph Elmunzer, Stacy Menees, Erik-Jan Wamsteker, Richard S. Kwon, James M. Scheiman & Grace H. Elta

  3. Division of Gastroenterology, Department of Internal Medicine, Henry Ford Hospital, 2799 West Grand Blvd, K7, Detroit, MI, 48202, USA

    Cyrus Piraka

Authors
  1. Sharlene L. D’Souza
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  2. Michelle A. Anderson
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  3. Sheryl J. Korsnes
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  4. B. Joseph Elmunzer
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  5. Cyrus Piraka
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  6. Stacy Menees
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  7. Erik-Jan Wamsteker
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  8. Richard S. Kwon
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  9. James M. Scheiman
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  10. Grace H. Elta
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Corresponding author

Correspondence to Sharlene L. D’Souza.

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Conflict of interest

There are no conflicts of interests pertaining to this study.

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D’Souza, S.L., Anderson, M.A., Korsnes, S.J. et al. EUS Diagnostic Criteria for Chronic Pancreatitis: A Comparison of Conventional Versus Rosemont Criteria. Dig Dis Sci 60, 3782–3787 (2015). https://doi.org/10.1007/s10620-015-3788-4

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  • DOI: https://doi.org/10.1007/s10620-015-3788-4

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