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Accuracy of endoscopic retrograde cholangiopancreatography (ERCP) in differentiating benign and malignant pancreatic disease

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Abstract

Despite advent of CT and ultrasound, endoscopic retrograde cholangiopancreatography (ERCP) remains useful in the preoperative evaluation of the pancreas. Using radiographic criteria previously described, ERCP was accurate in 90% of 71 patients in differentiating benign from malignant disease. Diagnostic errors were caused by chronic pancreatitis mimicking carcinoma (N=4) and carcinoma developing in a gland with chronic pancreatitis (N=3) missed on ERCP. Chronic pancreatitis was associated with a normal ERCP in 10% (N=4) of patients.

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Authors and Affiliations

  1. Departments of Radiology, University of Minnesota Hospitals, 420 Delaware St S.E., 55466, Minneapolis, MN, USA

    Mathis P. Frick M.D. & H. Charles Walker Jr.

  2. Department of Surgery, University of Minnesota Hospitals, Minneapolis, Minnesota, USA

    John F. O'Leary & Robert L. Goodale

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  1. Mathis P. Frick M.D.
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  2. John F. O'Leary
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  3. H. Charles Walker Jr.
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  4. Robert L. Goodale
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Frick, M.P., O'Leary, J.F., Walker, H.C. et al. Accuracy of endoscopic retrograde cholangiopancreatography (ERCP) in differentiating benign and malignant pancreatic disease. Gastrointest Radiol 7, 241–244 (1982). https://doi.org/10.1007/BF01887646

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  • DOI: https://doi.org/10.1007/BF01887646

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