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. 1976 Jan;17(1):14–21. doi: 10.1136/gut.17.1.14

Assessment of endoscopic retrograde cholangio-pancreatography (ERCP) and pure pancreatic juice cytology in patients with pancreatic disease.

A R Hatfield, A Smithies, R Wilkins, A J Levi
PMCID: PMC1411044  PMID: 1269975

Abstract

Pure pancreatic juice has been collected from 61 patients at the time of endoscopic retrograde cholangio-pancreatography (ERCP) for the purpose of cytodiagnosis. The ERCP and cytological findings are discussed. Pure pancreatic juice cytology may help in the interpretation of the pancreatogram in both pancreatitis and pancreatic carcinoma. In patients with pancreatic carcinoma, ERCP alone was diagnostic in 65%, cytology alone in 54%. By combining these two approaches, a diagnostic result was obtained in 92% of patients.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Cotton P. B., Beales J. S. Endoscopic pancreatography in management of relapsing acute pancreatitis. Br Med J. 1974 Mar 30;1(5908):608–611. doi: 10.1136/bmj.1.5908.608. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Cotton P. B., Blumgart L. H., Davies G. T., Pierce J. W., Salmon P. R., Burwood R. J., Lawrie B. W., Read A. E. Cannulation of papilla of vater via fiber-duodenoscope. Assessment of retrograde cholangiopancreatography in 60 patients. Lancet. 1972 Jan 8;1(7741):53–58. doi: 10.1016/s0140-6736(72)90059-1. [DOI] [PubMed] [Google Scholar]
  3. Cotton P. B. Cannulation of the papilla of Vater by endoscopy and retrograde cholangiopancreatography (ERCP). Gut. 1972 Dec;13(12):1014–1025. doi: 10.1136/gut.13.12.1014. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Endo Y., Morii T., Tamura H., Okuda S. Cytodiagnosis of pancreatic malignant tumors by aspiration, under direct vision, using a duodenal fiberscope. Gastroenterology. 1974 Nov;67(5):944–951. [PubMed] [Google Scholar]
  5. GIBBS D. D. DEGENERATING CELLS IN BILE-STAINED GASTRIC ASPIRATES. Acta Cytol. 1963 Sep-Oct;7:311–314. [PubMed] [Google Scholar]
  6. Hatfield A. R., Smithies A., Wilkins R., Levi A. J. Proceedings: Endoscopic retrograde cholangiopancreatography (ERCP), and pure pancreatic juice cytology: A combined diagnostic approach in pancreatic disease. Gut. 1975 May;16(5):405–405. [PubMed] [Google Scholar]
  7. Hatfield A. R., Whittaker R., Gibbs D. D. The collection of pancreatic fluid for cytodiagnosis using a duodenoscope. Gut. 1974 Apr;15(4):305–307. doi: 10.1136/gut.15.4.305. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Kasugai T., Kuno N., Kizu M. Endoscopic pancreatocholangiography with special reference to manometric method. Med J Aust. 1973 Oct 13;2(15):717–725. doi: 10.5694/j.1326-5377.1973.tb129743.x. [DOI] [PubMed] [Google Scholar]
  9. Kasugai T., Kuno N., Kizu M., Kobayashi S., Hattori K. Endoscopic pancreatocholangiography. II. The pathological endoscopic pancreatocholangiogram. Gastroenterology. 1972 Aug;63(2):227–234. [PubMed] [Google Scholar]
  10. Kasugai T., Kuno N., Kobayashi S., Hattori K. Endoscopic pancreatocholangiography. I. The normal endoscopic pancreatocholangiogram. Gastroenterology. 1972 Aug;63(2):217–226. [PubMed] [Google Scholar]
  11. Krain L. S. Cancer incidence. The crossing of the curves for stomach and pancreatic cancer. Digestion. 1972;6(6):356–366. doi: 10.1159/000197253. [DOI] [PubMed] [Google Scholar]
  12. Kreel L., Sandin B. Changes in pancreatic morphology associated with aging. Gut. 1973 Dec;14(12):962–970. doi: 10.1136/gut.14.12.962. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Kreel L., Sandin B., Slavin G. Pancreatic morphology--a combined radiological and pathological study. Clin Radiol. 1973 Apr;24(2):154–161. doi: 10.1016/s0009-9260(73)80074-1. [DOI] [PubMed] [Google Scholar]
  14. RASKIN H. F., WENGER J., SKLAR M., PLETICKA S., YAREMA W. The diagnosis of cancer of the pancreas, biliary tract, and duodenum by combined cytologic and secretory methods. I. Exfoliative cytology and a description of a rapid method of duodenal intubation. Gastroenterology. 1958 Jun;34(6):996–1008. [PubMed] [Google Scholar]
  15. WENGER J., RASKIN H. F. The diagnosis of cancer of the pancreas, biliary tract, and duodenum by combined cytologic and secretory methods. II. The secretin test. Gastroenterology. 1958 Jun;34(6):1009–1017. [PubMed] [Google Scholar]

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