ENDOSCOPY AND RETROGRADE CHOLEDOCHOPANCREATOGRAPHY IN THE DIAGNOSIS OF THE JAUNDICED PATIENT
Duodenoscopy, cannulation of the Summary papilla of Vater, and retrograde choledochopancreatography have been attempted in 87 jaundiced patients in whom the diagnosis remained in doubt after standard investigations. Duodenoscopy and/ or retrograde choledochopancreatography gave a definitive diagnosis in 66 (75%) patients and useful information in a further 5 cases. In 15 patients, demonstration of a normal biliary ductal system excluded extrahepatic cholestasis and saved unnecessary laparotomy. Duodenoscopy and cannulation of the papilla of Vater were relatively free of complications and reduced the need for percutaneous transhepatic cholangiography. This technique offers an early definitive diagnosis in the jaundiced patient and is a welcome advance in a difficult clinical area. © 1972.
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