Articles Vol. 66 No. 5 20/09/2025

3. CHARACTERISTICS OF ENDOSCOPIC ULTRASOUND OF CHRONIC PANCREATITIS AT THE GASTROENTEROLOGY AND HEPATOLOGY CENTER, BACH MAI HOSPITAL IN THE PERIOD 2024-2025

Le Phu Tai1,2, Luong Ngoc Duy1,2, Kieu Van Tuan1,2, Vu Manh Ha1,2, Nguyen Van Hieu1,2, Nguyen Thi Thu Hien1,2,3,4, Nguyen Hoai Nam1,2,3,4, Nguyen Cong Long1,2,3,4
1 Bach Mai Hospital
2 Bệnh viện Bạch Mai
3 VNU, University of Medicine and Pharmacy
4 Trường Đại học Y dược, Đại học Quốc gia Hà Nội
Corresponding author: lephutai2608@gmail.com
DOI: 10.52163/yhc.v66i5.3087
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Keywords
Chronic pancreatitis, early-stage chronic pancreatitis, endoscopic ultrasound.
Abstract

Objective: To describe the characteristics of endoscopic ultrasound in chronic pancreatitis at the Gastroenterology and Hepatology Center, Bach Mai Hospital, from 2024-2025.

Subjects and methods: A cross-sectional descriptive study was conducted on 40 patients with chronic pancreatitis diagnosed and treated at the Gastroenterology and Hepatology Center, Bach Mai Hospital, from October 2024 to June 2025. Endoscopic ultrasound images were described according to the ECP-2019 modified 2023 criteria.

Results: Regarding patient characteristics, the majority of patients were in the 40-60 age group (60%), with the youngest being 31 and the oldest 97; only two patients were female. The most common symptom was abdominal pain (95%). On endoscopic ultrasound, 100% of patients had pancreatic parenchymal lesions and hyperechoic strands, primarily hyperechoic foci and parenchymal calcifications, with rates of 95% and 77.5% respectively. Pancreatic cysts were the least common at 55%. The majority of patients had main pancreatic duct lesions (70%), with 100% of these cases showing main pancreatic duct dilation. The ECP-2019 modified 2023 criteria helped diagnose chronic pancreatitis in 16/20 cases (80%) suspected according to Rosemont (2007) (corresponding to early-stage chronic pancreatitis).

Conclusion: The revised ECP-2019 criteria (2023 update) are effective in detecting and stratifying early stages of chronic pancreatitis.

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