Abstract
Endoscopic visualization of the papilla of Vater was achieved in 98 of our first 100 attempts. Cannulation was successful in 87% of cases, achieving pancreatography alone in 29, cholangiography alone in 27, and both in 31. The relevant duct was adequately visualized in 72.5% of patients with biliary tract disease and in 72% of those with pancreatic disease. Complications were acceptably few. The procedure has proven valuable in difficult cases of obstructive jaundice and biliary type pain syndromes without jaundice. Many questions remain, however, as to its value in the diagnosis and evaluation of pancreatic disease.
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Nakayama T: Endoscopic shape of the ampulla of Vater. Jap Med J 2368:37, 1969
Oi I: Fiberduodenoscopy and endoscopic pancreatocholangiography. Gastrointest Endosc 17:59–62, 1970
Takagi K, Ikedo S, Nakagawa Y, Sakaguchi N, Takahshi T, Kumakura K, Maruyama M, Someya N, Nakano H, Takada T, Takekoshi T, Kin T: Retrograde pancreatography and cholangiography by fiber duodenoscope. Gastroenterology 59:445–452, 1970
Kasugai T, Kuno N, Kobayashi S, Hattori K: Endoscopic pancreatocholangiography. I. The normal endoscopic pancreatocholangiogram. Gastroenterology 63:217–226, 1972
Kasugai T, Kuno N, Kizu M, Kobayashi S, Hattori K: Endoscopic pancreatocholangiography. II. The pathological endoscopic pancreatocholangiogram. Gastroenterology 63:227–234 1972
Ogoshi K, Niwa M, Hara Y, Nebel OT: Endoscopic pancreatocholangiography in the evaluation of pancreatic and biliary disease. Gastroenterology 64:210–216, 1973
Cotton PB, Salmon PR, Blumgart LH, Burwood RJ, Davies GT, Lawrie BW, Pierce JW, Read AE: Cannulation of papilla of Vater via fiber-duodenoscope, assessment of retrograde cholangiopancreatography in 60 patients. Lancet 1:53–58, 1972
Cotton PB, Salmon PR, Beales JSM, Burwood RJ: Endoscopic trans-papillary radiographs of pancreatic and bile ducts. Gastrointest Endosc 19:60–62, 1972
Blumgart LH, Salmon P, Cotton PB, Davies GT, Burwood R, Beales JSM, Lawrie B, Skirving A, Read AE: Endoscopy and retrograde choledochopancreatography in the diagnosis of the jaundiced patient. Lancet 2:1269–1273, 1972
Cotton PB: Progress report. Cannulation of the papilla of Vater by endoscopy and retrograde cholangiopancreatography (ERCP). Gut 13:1014–1025, 1972
Heully F, Laurent J: Duodenoscopie dans des maladies des voies. Arch Mal Appar Dig 65:355–368, 1972
Safrany L, Tari J, Barna L, Torok I: Endoscopic retrograde cholangiography. Gastrointest Endosc 19:163–168, 1973
Classen M, Tympner F, Phillip J, Domschke S, Domschke W, Demling L: Retrograde ductography and exocrine function of the pancreas. Gastroenterology 64:832, 1973 (Abstr)
Vennes JA, Silvis SE: Endoscopic visualization of bile and pancreatic ducts. Gastrointest Endosc 18:149–152, 1972
Morrissey JF: To cannulate or not to cannulate. Gastroenterology 63:351–352, 1972
Ingelfinger FJ: Endoscopic pancreatocholangiography: progress and problem. N Engl J Med 287:879–880, 1972
Cotton PB, Beales JSM: To cannulate or not to cannulate. Gastroenterology 64:351–352, 1973
Zimmon DS: To cannulate! Gastroenterology 64:352–353, 1973
Wise RE, O'Brine RG: Interpretation of intravenous cholangiogram. JAMA, 1960:819–827, 1956
Morrissey JF: Cholangiography. N Engl J Med 289:266–267, 1973
Hines C Jr., Ferrante WA, Davis WD, Tutton RA: Percutaneous transhepatic cholangiography: experience with 102 procedures. Am J Dig Dis 17:868–874, 1972
Weiner M, Hanafee, WN: A review of transjugular cholangiography. Radiol Clin North Am 8:53–68, 1970
Rosch J, Lakin PC, Antonovic R, Dotter C: Transjugular approach to liver biopsy and transhepatic cholangiography. N Engl J Med 289:227–231, 1973
Gregg JA: Endoscopic pancreatography: an aide in the diagnosis of pancreatic cancer. Gastroenterology 64:737, 1973 (Abstr)
Doubilet H, Poppel MH, Mulholland JH: Pancreatography; techniques, principles, and observations. Radiology 64:325–339, 1955
Trapnell JE: Pancreatography—a reassessment. Br J Surg 54:934–939, 1967
Howard JM, Short WF: An evaluation of pancreatography in suspected pancreatic disease. Surg Gynecol Obstet 129:319–324, 1969
Warren K, Veidenheimer M: Pathological considerations in the choice of operation for chronic relapsing pancreatitis. N Engl J Med 266:323–329, 1962
Dixon JA, Englert E: Growing role of early surgery in chronic pancreatitis: a practical clinical approach. Gastroenterology 61:375–381, 1971
Smith R: Operative management of exocrine pancreatic disease. Clinics in Gastroenterology 1:239, 1972
Ammann RW, Deyhle P, Butikofer E: Fatal necrotizing pancreatitis after peroral cholangiopancreatography. Gastroenterology 64:320–323, 1973
Fu WR, Stanton LW: Angiographic study of pseudocysts of the pancreas. J Canad Ass Radiol 20:176, 1969
Reuter SR, Redman HC: Pancreatic angiography. CRC Crit Rev Radiol Sci 1:287, 1970
Filly RA, Freimanis AK: Echographic diagnosis of pancreatic lesions. Radiology 96:575–582, 1970
Leopold GR: Pancreatic echography: a new dimension in the diagnosis of pseudocyst. Radiology 104:365–369, 1972
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Katon, R.M., Lee, T.G., Parent, J.A. et al. Endoscopic retrograde cholangiopancreatography (ERCP). Digest Dis Sci 19, 295–306 (1974). https://doi.org/10.1007/BF01072519
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DOI: https://doi.org/10.1007/BF01072519