Abstract
We in our department have been adopting the endoscopic diagnosis with duodenal fiberscope since 1969 and have reported here our cases with this technique.
We had 75 cases to be examined. The classification of the diseases determined by the final diagnosis consisted of 7 cases without abnormalities, 30 cases with duodenal ulcer, 27 cases with the scar of duodenal ulcer, 3 cases with duodenal tumor, 2 cases with the early stage of stomach cancer and other 6 cases. In addition, we had 20 cases with the retrograde pancreato-cholangiography. It would be interesting to describe as follows :
1) The rate of success in the retrograde pancraeto-cholangiography : 85%
2) Complications : The titers of serum and urine amylase were increased temporarily in 2 of 18 cases and returned to the normal level without subsequent cmplications.
It is now hopeful from the above observations that the technique of the endoscopic diagnosis with duodenal fiberscope seems to be useful further with safety, for the diagnosis, particularly the pancreas diseases, although the rate of success appears to be somewhat lower.
