Summary
Endoscopical EPCG has been performed on 123 patients. In 44% of these cases, a clear and well-contrasted visualization of the bile ducts and the pancreatic duct could be reached during a single examination; in 20% only the bile duct and in 24% only the pancreatic duct could be revealed. Retrograde cannulation was unsuccessful in 12% of the cases. In 7 patients, neoplastic lesions were detected (1 carcinoma of the bile duct, 4 carcinomas of the head and 2 of the corpus of the pancreas), none of which had been diagnosed by another method.
We have been disappointed by the EPCG concerning the recognition of malignant lesions in an early stage. In our material all except one case were inoperable.
In our opinion, the most important indication for EPCG is the differentiation between different types of cholestatic jaundice. Here, the EPCG is superior to all known methods. Further experiments must be awaited to judge the value of the EPCG for the diagnosis of chronic pancreatitis.
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Seifert, E., Wagner, H.H. & Otto, P. Value and indication of endoscopic pancreato-cholangiography. Gastroenterol Jpn 8, 205–212 (1973). https://doi.org/10.1007/BF02779900
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DOI: https://doi.org/10.1007/BF02779900