A PRACTICE OF THE ENDOSCOPIC SPHINCTEROTOMY (EST) FOR BILIARY AND PANCREATIC DISEASES

概要

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Recently, ERCP is used as one of the important examinations of biliary and pancreatic diseases. It is a fact, that even if the smaller carcinoms of the pancreas are found by ERCP, there are still a few patients to whom the pancreatectomy was performed under the diagnosis of suspicious cancer. Progress of the diagnosis of ERCP should be made to revise this point, and the new technical trial was made using the cytology brush and the biopsy forceps inserted into the biliary and the pancreatic duct after the papillotomy. We have inserted the cytology brush into the pancreatic duct since 1974. But the insertion of this cytology brush is not easy. Forthis reason, papillotomy was done to facilitate inserting the cytology brush and the biopsy forceps into the biliary and the pancreatic duct easier, and at the same time in order to take histological specimens to establish the diagnosis. Usually, the papillotomy is used as a method of therapy in choledocholithiasis, however, we use this papillotomy as a method of establishing the diagnosis of biliary and pancreatic diseases. We named this new thechnique "Diagnostic Papillotomy", and show this method and illustrative cases.
社団法人日本消化器内視鏡学会の論文