選択的逆行性膵胆管造影法

概要

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we have carried out 208 cases of endoscopic retrograde cholangio-pancreatography (abv. ERCP) since 1976, corresponding 112 cases for biliary diseases, 23 cases for pancreatic diseases, 3 cases of papillary diseases, 5 cases of miscellaneous and 55 cases of no pathological findings.<BR>The purpose of this study was to estimate the selective cannulation of major papilla in order to visualize the biliary and pancreatic ducts, according with clinical symptoms.<BR>The main point of this technique is the insertion of the scope which reccomend the pushing method for pancreatogram and straight for cholangiogram. Furthermore the changing position of the patient, that means from left lateral to prone position aids for this purpose, because it allows the frontal view of the major papilla.<BR>Bending of the distal end of the cannula either right or left makes easier the selective cannulation of the pancreatic and biliary tract respectively.<BR>By this procedure we obtained a succesfull rate of 95, 9% for biliary duct and 93, 5% for pancreatic duct.