Combination of ERCP, CT and US in the diagnosis of liver, biliary tract and pancreatic diseases
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The diagnostic accuracy of combined ERCP, CT and US was studied in 24 patients with liver and biliary tract diseases and 26 patients with pancreatic diseases. In liver and biliary tract diseases, ERCP, CT and US facilitated an accurate diagnosis in 58%, 46%, and 54% of the cases, respectively. Combined ERCP and CT and combined ERCP, CT and US facilitated accurate diagnosis in 88% and 92% of the cases, respectively. In patients with pancreatic diseases, ERCP, CT and US rendered accurate diagnosis in 85%, 58% and 35% of the cases, respectively, combined ERCP and CT in 92%. Compared to the other examinations, the highest diagnostic accuracy was obtained by ERCP in chronic pancreatitis (69%) and by CT in liver parenchyma diseases (100%). All malignant tumors of the liver, biliary tract and pancreas could be diagnosed, however, all of these were in advanced stage. Our results suggest that combined method is useful in diagnosing liver, biliary tract and pancreatic diseases, although more reliable methods need to be developed for the early detection of diseases, especially for tumors.
- 日本癌病態治療研究会の論文
日本癌病態治療研究会 | 論文
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