Gastrointestinal Radiology

, Volume 4, Issue 1, pp 231–237 | Cite as

Angiographic evaluation of the abnormal endoscopic pancreatogram

  • Joe Ariyama
  • Hikoo Shirakabe
  • Masataka Sumida
  • Clive I. Bartram
Article

Abstract

Out of 1,269 pancreatograms, 122 were abnormal. Angiography was performed in these patients. Fifty-five were found to have pancreatic carcinoma. In the remaining 67 patients a false positive angiographic diagnosis of either chronic pancreatitis or pancreatic cancer was made in 11%. In one patient a hemangioma was diagnosed as a pancreatic cyst. The remaining 58 patients all had normal pancreatic angiograms in spite of gross ductal abnormality on endoscopic retrograde cholangiopancreatography (ERCP). All these patients were followed for an average of 19 months and showed no clinical evidence of pancreatic disease. It is suggested that angiography should be considered a complementary examination to ERCP and is particularly useful to exclude carcinoma when the pancreatogram is abnormal.

Key words

Pancreas, angiography Pancreas, neoplasm ERCP, diagnosis 

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Copyright information

© Springer-Verlag New York Inc. 1979

Authors and Affiliations

  • Joe Ariyama
    • 1
  • Hikoo Shirakabe
    • 1
  • Masataka Sumida
    • 1
  • Clive I. Bartram
    • 2
  1. 1.Department of GastroenterologyJuntendo UniversityTokyoJapan
  2. 2.Radiology DepartmentSt. Mark's HospitalLondonEngland

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