Endoscopic retrograde choledochopancreatography in the diagnosis of pancreatic disease.

Salmon, P. R.

doi:10.1136/gut.16.8.658

Cited by 29 publications

(7 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In this study minimal changes on E R P correlated well with reduced pancreatic function. The same conclusions have been drawn by several other authors (15)(16)(17). Minimal changes are consequently of clinical importance and should be included in the classification of chronic pancreatitis.…”

Section: Discussionsupporting

confidence: 78%

Evaluation of the Diagnosis Pancreatitis

Seligson

Cho

Ihre

et al. 1982

Scandinavian Journal of Gastroenterology

View full text Add to dashboard Cite

A widely used classification of pancreatitis is the one proposed in Marseilles in 1963, which distinguishes among acute, acute relapsing, chronic relapsing, and chronic pancreatitis. The diagnostic criteria in chronic pancreatitis are permanent damage of morphology and/or function of the pancreas after clinical symptoms of pancreatitis. In clinical practice, however, it can be difficult to find the suitable and comparable diagnosis in accordance with the Marseilles classification. In the present study the exocrine and endocrine function and the morphology of the pancreas have been thoroughly investigated in 54 patients who have been treated for various diagnoses of pancreatitis. The results show that the above diagnostic criteria often are difficult to interpret. We consider that the prevailing classification of pancreatitis needs to be revised in the light of progress in investigative techniques. A proposal for a modified classification is presented.

show abstract

Section: Discussionsupporting

confidence: 78%

Evaluation of the Diagnosis Pancreatitis

Seligson

Cho

Ihre

et al. 1982

Scandinavian Journal of Gastroenterology

View full text Add to dashboard Cite

show abstract

“…This was the experience of many other investigators 8,[13][14][15][16][17][18][19][20] apart from malignant strictures, which were of much higher incidence than found in this study, which was a total of 42 (6.3%) with malignant disease, 34 biliary and eight pancreatic, as I excluded the failed cannulation (27 cases) in which 25 were diagnosed postsurgically as malignancy related to the pancreatic head, porta hepatis or common bile duct. If we add the number of postsurgically diagnosed tumors in our failed cannulation cases (25) to our ERCP diagnosed (42) cases, malignancy will be seen in 67 patients (10%), which still reflects lower incidence in comparison to others. [13][14][15][16][17][18][19][20][21][22][23][24][25] In this study, early post cholecystectomy cases were 222 patients.…”

Section: Discussionmentioning

confidence: 96%

“…If we add the number of postsurgically diagnosed tumors in our failed cannulation cases (25) to our ERCP diagnosed (42) cases, malignancy will be seen in 67 patients (10%), which still reflects lower incidence in comparison to others. [13][14][15][16][17][18][19][20][21][22][23][24][25] In this study, early post cholecystectomy cases were 222 patients. Fifty patients (22.5%) had traumatic stricture of the CBD, 18 of whom had total CBD ligation at the level of the cystic duct (8.1%), and four of whom had partial ligation (0.6%).…”

Section: Discussionmentioning

confidence: 96%

“…This was similar to the experience of others, but ligation leading to complete or partial obstruction of the CBD was of a higher incidence in this study. 13,[25][26][27][28][29] Papillary stenosis was found in 23 patients (3.4%) in this series, all of whom were predisposed or associated with gallbladder or CBD stones and a history of biliary colic experienced during the passage of a stone or associated CBD infection with the stones. This was the experience of others in the literature and comparable with the pathogenetic factors in explaining the cause of papillary stenosis.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Endoscopic Retrograde Cholangiopancreatography (ERCP) in the Diagnosis of Biliary and Pancreatic Duct Disease: a Prospective Study on 668 Jordanian Patients

Shennak

1994

Annals of Saudi Medicine

View full text Add to dashboard Cite

Endoscopic retrograde cholangiopancreatography (ERCP) is the method of choice in establishing the nature and the site of common bile and pancreatic duct disease and related complications. It was used in 668 Jordanian patients who presented with biliary or pancreatic disease and unexplained upper abdominal pain. Common bile duct (CBD) stones, postsurgical traumatic CBD strictures, papillary stenosis and malignant strictures were the most common findings in this study. 2 This procedure is crucial in demonstrating both normal anatomy and mechanical or structural abnormalities of the biliary and pancreatic excretory system. 3 ERCP can be recommended early in the clinical illness and prevent prolonged uncertainty. Prompt demonstration of an obstructing lesion leads directly to surgical intervention, while the unequivocal demonstration of a normal biliary system allows confident medical care and should prevent unnecessary and potentially dangerous operations.

show abstract

“…Post-mortem pancreatograms have been studied [5,6], but as autolysis takes place rapidly, data obtained can be questioned. Increasing ductal size is found with increas ing age [7], Kasugai et al [8] analysed the pancreato grams from a large number of patients with pancreatitis and established three categories of lesions in chronic pancreatitis.…”

Section: Endoscopic Retrograde Pancreatographymentioning

confidence: 99%

Endoscopic Retrograde Pancreatography and Exocrine Pancreatic Function

Elsborg¹

1987

Digestion

View full text Add to dashboard Cite

The incidence of pancreatitis has been increasing during the last decennium paralleling a rapid enhancement in alcohol consumption. For many years, diagnostic criteria of chronic pancreatitis were exclusively based on the estimation of the exocrine pancreatic function. New valuable information is provided from endoscopic retrograde pancreaticography (ERP) and pancreatic ultrasonography. In a consecutive series of patients with chronic alcoholism changes in the pancreatogram were demonstrated in approximately 44% of the patients. A comparative study of ERP and exocrine pancreatic function showed that only patients with advanced pancreatic lesions had a significant reduction in pancreatic function. It is suggested that ‘subclinical pancreatitis’ is frequent among alcoholics. Complementary use of pancreatic ultrasonography and ERP gives a differentiated picture of pancreatic disease and is recommended among the first steps in the diagnostic chain for pancreatic disease.

show abstract

Endoscopic retrograde choledochopancreatography in the diagnosis of pancreatic disease.

Cited by 29 publications

References 16 publications

Evaluation of the Diagnosis Pancreatitis

Evaluation of the Diagnosis Pancreatitis

Endoscopic Retrograde Cholangiopancreatography (ERCP) in the Diagnosis of Biliary and Pancreatic Duct Disease: a Prospective Study on 668 Jordanian Patients

Endoscopic Retrograde Pancreatography and Exocrine Pancreatic Function

Contact Info

Product

Resources

About