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Endoscopic Retrograde Pancreaticocholangiography (ERPC) (Paperback, Softcover reprint of the original 1st ed. 1977)
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Endoscopic Retrograde Pancreaticocholangiography (ERPC) (Paperback, Softcover reprint of the original 1st ed. 1977)
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The roentgenologic visualization of excretory ducts of a secreting
organ is a longe-stablished diagnostic method in roentgenology. For
a long time, radiologists have felt the need to establish a method
for filling the excretory duct system of the pancreas with contrast
material, in the way that intravenous retrograde urography is used
to diagnose pathologic changes such as displacement of the renal
collecting system or of the urethra. This need to establish a
method became more urgent the more the pancreas resisted
conventional roentgenologic clinical di- agnostic methods. From
time to time in peroperative or postoperative cholangiography
mostly incomplete reflux into the pancreatic duct in 10-14% was
observed (Stiller, 1948; San Julian und Pascual y Megias, 1952;
Wapshaw, 1955; Bergkvist und Seldinger, 1957). However, there was
no possibility of obtaining reliable and complete opacification of
the pancreatic duct. Peroperative Pancreaticography It was in 1951
when Leger and Arway achieved this goal, though only by surgery. It
should be mentioned that, when performing their first peroperative
examination, these French surgeons already had the impression, that
cannulation of the pancreatic duct was easier than cannulation of
the common bile duct. This observation has been con- firmed by
hundreds of examinations after ERPC had been established for
several years; however, up till now this phenomenon has not been
sufficiently explained. During the following years, peroperative
pancreaticography develop- ed into a routine examination, above all
by Doubilet et al.
General
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