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A Case of Alcoholic Pancreatitis: ERCP revealing its marked advance during clinical observation for six years K. Fukumoto 1 , M. Nakajima 1 , M. Takebayashi 1 , Y. Mitsuyoshi 1 , M. Kato 2 , K. Sugawara 2 , M. Tani 2 1Dept. of Internal Medicine, Biwako Gastrointestinal Hospital 2Dept. of Surgery, Biwako Gastrointestinal Hospital pp.953-958
Published Date 1978/7/25
DOI https://doi.org/10.11477/mf.1403107373
  • Abstract
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 A 29-year-old man drinking heavily for 11 years came to see us on account of pain in the epigastrium. At first the pain was transient, abating within a short time after ambulatory treatment. As he did not give up drinking, he was repeatedly examined by X-ray. The upper GI series showed increasing displacement of the gastric body. Two years later ERCP also showed stricture, rigidity and irregularity of the main pancreatic duct and its branches. A diagnosis of chronic pancreatitis was then made.

 Four years and six months after the initial examination FRCP showed a cyst and a shadow of stones in the tail of the pancreas. This part was then resected. What we had diagnosed as a cyst proved to be an abscess. Tissue of the pancreas in the resected specimen showed entirely far advanced pancreatitis, but exocrine secretory functions as determined by preoperative PS test were only slightly impaired.

 These results led us to evaluate the diagnostic capability of ERCP and the present diagnostic criteria for chronic pancreatitis. Comparison of FRCP findings with exocrine function tests such as PS test seemed to show an discrepancy between well preserved exocrine function tests and far advanced morphological and tissue changes. Diagnosis of chronic pancreatitis by ERCP and its follow-up seem to us of great interest and importance when development and progress of pancreatitis are duly taken into account.


Copyright © 1978, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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