Diagnosis of exocrine diseases of the pancreas: is there still a role for endoscopic retrograde cholangiopancreatography (ERCP)?

Autor:	Massimiliano MUTIGNANI, Me, Riccioni, Costamagna G
Rok vydání:	2002
Předmět:	Cholangiopancreatography Endoscopic Retrograde Humans Pancreatic Diseases Magnetic Resonance Imaging Pancreas
Zdroj:	Scopus-Elsevier Europe PubMed Central
ISSN:	0390-7740
Popis:	In the diagnosis of exocrine diseases of the pancreas, three major questions should be addressed: when only MR cholangiopancreatography should be applied; when endoscopic retrograde cholangiopancreatography should be applied directly; when a combined approach should be applied. In pancreatic disease MRI has many indications because ultrasonography, the procedure of choice, is rarely able to resolve the diagnostic problem, with a clearcut indication for therapeutic endoscopic retrograde cholangiopancreatography. One of the rare cases where MRI could be omitted is represented by pancreatic cancer with biliary obstruction in non operable patients in whom a pancreatic mass was already visualized on ultrasonography. In all other diseases of the pancreas, the combination of MRI/MRCP with secretin stimulation and ERCP usually favors the first procedure, preventing a number of diagnostic ERCP.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=pmid_dedup__::18ac30526118c89bc01f6abff821bfc7 https://pubmed.ncbi.nlm.nih.gov/11925787 Zobrazit plný text záznamu