GASTROENTEROLOGICAL ENDOSCOPY
Online ISSN : 1884-5738
Print ISSN : 0387-1207
ISSN-L : 0387-1207
DIAGNOSIS OF PANCREATIC CANCER BY ENDOSCOPIC RETROGRADE PARENCHYMOGRAPHY OF THE PANCREAS (ERPP)
Yuzo AKASAKAMasatsugu NAKAJIMAKunihiko KIMOTOKatsuyuki YAMAGUCHIKeiichi KAWAIShinjiro YOSHIMOTO
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1983 Volume 25 Issue 5 Pages 696-702

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Abstract

ERPP was performed in 40 patients with pancreatic cancer and the following results were obtained. (1) On parenchymography in 25 cases of patients with pancreatic cancer, the effectiveness of the surfactant were proved. (2) Parenchymogram of pancreatic cancer were divisible into two main patterns ; that is, type D characterized by a filling defect and type H by hyperopacification . Furthermore, type D was divided into five subtypes (D0, D1-a, D1-b, D1-c, D2) and type H into three subtypes (H0, H1, H2). (3) In cancer of the head of the pancreas, many cases belonged to D1-b or D2 subtype. In cancer of the body and tail, over 90% of cases belonged to D1-b or D1-c. (4) Parenchymogram showed more clearly the extent of cancerous infiltration in pancreatic parenchym than the pathologic findings of main pancreatic duct. (5) No particular complications were noted in ERPP of pancreatic cancer.

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© Japan Gastroenterological Endoscopy Society
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