Abstract
Endoscopic retrograde cholangiopancreatography (E.R.C.P.) was attempted in 31 patients suffering from repeated attacks of acute pancreatitis. Pancreatograms were obtained in 25 patients. Twelve showed definite “surgical lesions” (obstructions, strictures, or pseudocysts). In at least three patients failure to obtain a pancreatogram was due to obstruction of pancreatic duct close to the papilla. Two patients, both with pseudocysts, developed a mild relapse of pancreatitis after the procedure. Surgical intervention based on the x-ray findings seemed beneficial in the short follow-up period.
Endoscopic pancreatography can be of value in deciding when surgery is advisable for patients with relapsing acute pancreatitis and in determining the operative appreach. It is an advance in the management of a difficult clinical condition.
Full text
PDF
Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Blumgart L. H., Cotton P. B., Burwood R., Lawrie B., Salmon P., Davies G. T., Beales J. S., Skirving A., Read A. E. Endoscopy and retrograde choledochopancreatography in the diagnosis of the jaundiced patient. Lancet. 1972 Dec 16;2(7790):1269–1273. doi: 10.1016/s0140-6736(72)92648-7. [DOI] [PubMed] [Google Scholar]
- 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]
- 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]
- DOUBILET H., POPPEL M. H., MULHOLLAND J. H. Pancreatography. Ann N Y Acad Sci. 1959 Jul 2;78:829–851. [PubMed] [Google Scholar]
- 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]
- Takagi K., Ikeda S., Nakagawa Y., Sakaguchi N., Takahashi T. Retrograde pancreatography and cholangiography by fiber duodenoscope. Gastroenterology. 1970 Sep;59(3):445–452. [PubMed] [Google Scholar]
- Trapnell J. E. The natural history and prognosis of acute pancreatitis. Ann R Coll Surg Engl. 1966 May;38(5):265–287. [PMC free article] [PubMed] [Google Scholar]
- Vennes J. A., Silvis S. E. Endoscopic visualization of bile and pancreatic ducts. Gastrointest Endosc. 1972 May;18(4):149–152. doi: 10.1016/s0016-5107(72)74061-4. [DOI] [PubMed] [Google Scholar]