Summary
Endoscopic retrograde cholangiopancreatography (ERCP) was performed in 77 cases of pancreatic carcinoma, 47 cases of carcinoma of the common bile duct and 45 cases of carcinoma of the gall bladder. In order to evaluate ERCP in pancreatic and biliary carcinoma, success rates of desired duct cannulation and some problems in the interpretation of ERCP findings were discussed. In 2 cases (2.6%) of pancreatic carcinoma, 6 cases (13.0%) of carcinoma of the common bile duct and 8 cases (17.8%) of carcinoma of the gall bladder were failed to visualized the desired ducts by ERCP. In pancreatic carcinoma, false negative cases in the interpretation of ERCP findings were encountered in 4 cases (4.6%). Similarly, false positive cases were encountered in 12 patients (13.6%). On the other hand, 4 false negative.were encountered in cases of which carcinoma of the gall bladder could not detected and 4 false positive cases were encountered in cases with inflamatory disease of the common bile duct.
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References
Cotton PB, et al: Cannulation of the papilla of Vater via fiberduodenoscope-Assessment of retrograde cholangio-pancreatography in 60 patients. Lancet 1: 53, 1972
Kasugai T, et al: Endoscopic pancreatocholangiography II. The pathological endoscopic pancreato cholangiogram. Gastroenterology 63: 227, 1972
Ogoshi K, et al: Endoscopie pancreatocholangiography in the evaluation of pancreatic and biliary disease. Gastroenterology 64: 210, 1973
Belsito AA, et al: Delayed ductal drainage; an endoscopie pancreatographic sign of carcinoma of the head of the pancreas. Amer J Roentgenol 119: 109, 1973
Norton RA, et al: Pancreatographic abnormalities due to pancreatic cancer. Gastrointest Endosc 20: 13, 1973
Robins AH et al: Detection of malignant disease by peroral retrograde pancreatoco-biliary ductography. Amer J Roentgenol 117: 432, 1973
Fukumoto K, et al: Diagnosis of pancreatic cancer by endoscopie pancreatocholangiography. Amer J Gastroenterol 60: 210, 1964
Stadelman O, et al: Endoscopie retrograde cholangiopancreatography in the diagnosis of pancreatic cancer. Experiences with 54 cases. Endoscopy 6: 84, 1974
Safrany L, et al: Endoscopie retrograde cholangiography. Experience of 158 examinations. Gastrointestinal Endoscopy 19: 163, 1973
Silvis SE, et al: Diagnostic criteria for the evaluation of the endoscopie pancreatogram. Gastrointestinal Endoscopy 20: 51, 1973
Cotton PB: Endoscopie retrograde cholangiopancreatography (ERCP) Chapter in “Topics in Gastroenterology”, Vol. II, ed. Truelove and Trowell, Oxford, Blackwells 57, 1975
Seifert E, et al: Clinical relevance of ERCP. Endoscopy 7: 133, 1975
Elias E, et al: A randomised trial of percutaneous trans-hepatic cholangiography versus endoscopie retrograde cholangiography for bile duct visualization in chilestasis. Gut 16: 831, 1975
Bognel JC, et al: Etude de 252 cas de pancreatite chronibues et subaque cholangio wursungographie retrograde per duodenoscopique. Third World Congress Gastrointestinal Endoscopy Mexico 1974
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Ogoshi, K., Niwa, M. The diagnostic evaluation of ERCP in pancreatic and biliary carcinoma. Gastroenterol Jpn 12, 218–223 (1977). https://doi.org/10.1007/BF02781766
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DOI: https://doi.org/10.1007/BF02781766