日本消化器内視鏡学会雑誌
Online ISSN : 1884-5738
Print ISSN : 0387-1207
ISSN-L : 0387-1207
膵嚢胞の臨床的研究膵管造影法25例を中心として
中沢 三郎内藤 靖夫山本 義樹山瀬 裕彦祖父江 国雄市川 正章梶川 学山本 皓正山田 憲一肥田野 等林 繁和可知 常昭川口 新平塚本 純久市川 朝洋
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1977 年 19 巻 2 号 p. 96-107

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During the six years, pancreatogram were taken in 25 patients with pancreatic cyst. Etiologically, there were 17 chronic pancreatitis, 2 acute pancreatitis, 4 posttaumatic, 1 postoperation and 1 cystadenocarcinoma. All patients complained of abdominal pain and abdominal mass was palpable in 17 cases (68%). The pancreatograms of pancreatic cyst were classified into 5 types, the filled type (60%), the obstructed type (12%), the displaced type (4%), the mixed type (20%) and the normal type (4%). The differential diagnosis between pancreatic cyst and other pancreatic diseases in each type of pancreatograms, were discussed. The diagnosis of pancreatic cyst and other pancreatic diseases can be made with high accuracy in most patients by x-ray studies of hypotonic dnodenography, but by cholangiography it is difficult unless the cyst is large, in size. By EPCG (endoscopic pancreatocholangiography), abdo-minal angiography and new addition of ultrasound and CT (computerised tomngraphy), clinical problems of accurate preoperative diagnosis of pancreatic cyst will be resolved.
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