Clinical Evaluation of ERCP in the Diagnosis of Early Cancer of the Gallbladder Kazuei Ogoshi 1 , Masayuki Niwa 1 1Department of Internal Medicine, Cancer Center, Niigata Hospital pp.521-527
Published Date 1986/5/25
DOI https://doi.org/10.11477/mf.1403110300
  • Abstract
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In the past ten years, four cases of early cancer of the gallbladder were diagnosed. ERCP was unable to reveal three of these four cases because of obstruction of the cystic duct by the existence of gallstones Only in one case was the gallbladder effectively visualized by ERCP. Filling defect was observed. Of 16 cases of resected gallbladder cancer cases, three cases were diagnosed by ERCP. In three cases of the 16 resected cases, gallstones were visualized but cancer were not diagnosed. In ten cases, the gallbladder was not able to be visualized at all.

As a clinical evaluation, it can be said that ERCP plays a diagnostic role by visualization of the fine structure of the surface of the elevated cancer.

On the other hand, the biggest disadvantage of ERCP in the diagnosis of gallbladder cancer is that the gallbladder was hardly able to be visualized in cases where gallstones were present or in cases with cystic duct obstruction. In cases with flat type of gallbladder cancer, ERCP was nearly useless for diagnosis.

 In conclusion, it should be said that ERCP is not so important in the diagnosis of early cancer of the gallbladder, but is important to check the situation of the neighbouring organs, such as the common bile duct.

Copyright © 1986, Igaku-Shoin Ltd. All rights reserved.


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