Peroral Endoscopic Cholangiography and Pancreatography: The Surgeon's Helper

Choichi Sugawa, Razia Raouf, Volker Bradley, Melvyn Westreich, Charles E. Lucas, Alexander J. Walt

Research output: Contribution to journalArticlepeer-review

12 Scopus citations

Abstract

Peroral cannulation of the ampulla of Vater with retrograde cholangiography and pancreatography (ERCP) was successfully accomplished in 65 of 85 patients. Cholangiography was normal in six patients thought to have obstructive jaundice and demonstrated choledocholithiasis in eight, cancer of the common bile duct in three, cancer of the head of the pancreas in eight, narrowing of the common bile duct in three, and ampullary cancer in two. Pancreatography was normal in 12 patients, ruling out surgical lesions; pseudocysts were demonstrated in three, pancreatitis in 12, and carcinoma of the body and tail of the pancreas in two. No serious complications resulted. Retrograde cholangiography and pancreatography provided a safe, quick, and accurate diagnostic technique that reduced the duration of preoperative investigation of the jaundiced patient and influenced the choice of operation in patients with pancreatic disease.

Original languageEnglish
Pages (from-to)231-237
Number of pages7
JournalArchives of Surgery
Volume109
Issue number2
DOIs
StatePublished - Aug 1974
Externally publishedYes

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