Endoscopic Balloon Catheter Pancreato-graphy Using Catheter Retaining Technique: Usefulness of supine spot films by compression for complete evaluation of pancreatic ducts and branches S. Ikeda 1 , S. Matsumoto 2 , H. Yoshimoto 2 , M. Tanaka 2 , K. Yamaguchi 3 1The First Department of Surgery, School of Medicine, Fukuoka University 2The First Department of Surgery, Faculty of Medicine, Kyushu University 3The Second Department of Pathology, Faculty of Medicine, Kyushu University pp.1231-1242
Published Date 1984/11/25
DOI https://doi.org/10.11477/mf.1403109560
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 In an attempt to improve diagnostic ability of endoscopic retrograde pancreatography (ERP), a balloon catheter retained in the pancreatic duct by duodenoscopy was used in 48 patients with pancreatic diseases or carcinoma of the distal bile duct. Cannulation and retaining of the catheter were successful in 45 patients. The result of balloon catheter ERP was compared with that of standard ERP in 35 patients where both were available for detailed analysis. Balloon catheter ERP clearly visualized the lesion and thus permitted definite diagnosis in 29 of these patients (83%), whereas standard ERP allowed definite diagnosis in only 5 patients (14%). Histological diagnosis was obtained in 25 of the 35 patients. Comparison of diagnostic ability between balloon catheter ERP and standard ERP in these 25 patients demonstrated that the balloon catheter method was better in 11 patients. Supine spot films by compression, obtainable only by the procedure described in this report, were found to be quite useful both to fully visualize the lesion and to make the pancreatogram clear. We conclude that the use of a retained balloon catheter would improve diagnostic potential of ERP.

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