Endoscopic Retrograde Choledocho-Pancreatography. A review with a report of a collaborative series
Biliary Tract Neoplasms
Quality of Life
Ninety-three patients were referred to the authors for Endoscopic Retrograde Choledocho-Pancreatography (E.R.C.P.). Cannulation of the papilla of Vater was achieved in 72 of these and additional information of clinical or diagnostic value was obtained by endoscopy in 16 patients. In 48 patients the E.R.C.P. diagnosis was confirmed at subsequent surgery or follow-up and in 8 of these cases intended laparotomy was avoided by the demonstration of normal ducts. Useful, though in some cases unconfirmed, diagnostic information was achieved in all but one of the patients where successful E.R.C.P. was carried out. Many individual cases are illustrated and discussed. E.R.C.P. represents a major advance in the diagnosis of biliary and pancreatic disease and it has now become a well-established examination in many centres. The literature relating to E.R.C.P. has been reviewed, with particular reference to the clinical value and radiological significance of the technique. Description of the authors' apparatus, equipment and techniques is given. The authors present a detailed critical analysis of their preferred techniques, their indications, contra-indications and complications. © 1973 E. & S. Livingstone.
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