Ultrasound versus X-ray abdomen in the diagnosis of fibrocalculous pancreatic diabetes

Suresh, S. ; Mohan, V. ; Indirani, Suresh ; Ramachandran, A. ; Vijay Kumar, G. ; Snehalatha, C. ; Viswanathan, M. (1988) Ultrasound versus X-ray abdomen in the diagnosis of fibrocalculous pancreatic diabetes Annals of I .M. A, 2 . pp. 59-63.

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Abstract

Fibrocalculous Pancreatic Diabetes is a form of diabetes secondary to chronic, nonalcoholic, pancreatitis. The usefulness of ultrasonography versus plain X-Ray of the abdomen in the diagnosis of this entity was compared. The sensitivity of the ultrasound for picking up of pancreatic calculi was 83.8% compared to 95.2% for plain X-Ray abdomen. However 23% of patients in whom X-Rays were normal ultrasonography picked up evidence of chronic pancreatitis. The diagnosis of chronic pancreatitis in these patients was confirmed by exocrine pancreatitis function tests. Ultrasonography had a false negative rate of 10.2%. In conclusion plain X-Ray of the abdomen and ultrasonography are complementary to each other in the dignosis of fibrocalculous pancreatic diabetes. A combination of both parameters along with a test of exocrine pancreatic function greatly reduces the need for invasive procedures for the diagnosis of this disease.

Item Type:Article
Source:Copyright of this article belongs to Academy of Medical Specialities.
ID Code:92441
Deposited On:01 Jun 2012 11:57
Last Modified:19 May 2016 05:52

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