日本消化器内視鏡学会雑誌
Online ISSN : 1884-5738
Print ISSN : 0387-1207
ISSN-L : 0387-1207
逆行性膵胆管造影法(ERCP)後の合併症について
―われわれの教室における自験を中心に―
林田 康男奥山 輝之八木 淳一郎山下 啓爾権田 厚文藤井 佑二沢田 好明城所 仂松沢 良和
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1976 年 18 巻 2 号 p. 321-329

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ERCP has become a routine examination as well as angiography for the diagnosis of biliary and pancreatic disease. Recently, this diagnostic value is more increased by detailed analysis of X-Ray findings. On the other hand, complications of ERCP seem to be increasing due to overdose infusion of contrast medium. Here, we studied about complications of ERCP; 108 cases could be followed up by leukocyte count, serum amylase and fever for one week. This paper is written very important things for complications of ERCP. Our conclusions are as follow:1) Cases having an acinar filling showed hyper amylasemia and prolonged serum amylase value.2) Acute pancreatitis recurs after ERCP.3) Severe jaundice or biliary tract disease having a suppurative cholangitis were aggravated by ERCP.4) Some cases of cholecystitis with gall stone were aggravated by ERCP. Cholecystitis was aggravated by injecting of contrast medium. This study suggests that ERCP is an important examination for diagnosis of biliary and pancreatic disease, but ERCP should be done with great care to avoid its complications.
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