Summary
Pancreatography using fibroscopy is current practice in medicine and contributes to the diagnosis of diseases of the pancreas. The radiographic images obtained generally represent oblique projections which have little in common with classic anatomical diagrams.
An analysis of 60 pancreatographic investigations considered normal (out of a series of 400 investigations made on various diseases of the pancreas) has been followed by a comparison between these radiographic results obtained in vivo with diverse anatomical classifications in current use. The conclusion is reached that pancreatography is morphologically reliable and that there is no correlation between the mode of ramification of the ducts and pathological conditions (with the exception of the pancreas divisum and the annular pancreas).
Résumé
L'usage de la pancréatographie sur le vivant, réalisée par fibroscopie, est devenu courant et contribue au diagnostic de nombreuses affections du pancréas. Les images radiographiques obtenues représentent généralement des projections obliques difficilement comparables aux schémas anatomiques classiques.
L'analyse de 60 dossiers de pancréatographies considérées comme normales (sur une série de 400 explorations réalisées pour des affections variées du pancréas) permet de comparer ces aspects in vivo aux diverses classifications anatomiques en usage. Elle permet de conclure à la fiabilité morphologique de la pancréatographie in vivo et à l'absence de corrélation entre le mode de ramescence et la pathologie (à l'exception du pancréas divisum et du pancréas annulaire).
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Darnis, E., Cronier, P., Mercier, P. et al. A radio-anatomical study in vivo on pancreatic ducts. Anat. Clin 6, 109–116 (1984). https://doi.org/10.1007/BF01773162
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DOI: https://doi.org/10.1007/BF01773162