[Diagnostic value of endoscopic retrograde cholangiopancreatography in the differential diagnosis of pancreatitis and pancreatic cancer].
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Biomedical subjects
Publications and source records attributed to J Papp.
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The case of a 26-year-old male with insulinoma is presented. An insulin secreting tumour was indicated by laboratory data. The tumour was accurately localized by endoscopic retrograde pancreatography, as verified by subsequent surgery.
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Endoscopic retrograde cholangio-pancreatography performed in patients with bilodigestive anastomosis may furnish not only reliable radiograms revealing abnormal morphology of the two duct system but allows also endoscopic investigation of the stoma, which is often of equal diagnostic value in such patients. The size of the anastomosis is of crucial importance in such complications as cholangitis and secondary bile stone formation. In a significant portion of patients with biliodigestive anastomoses, i.e. in 75% of the present patient material, a morphologic abnormality could be demonstrated offering in many if not most cases the possibility of a surgical correction and eventual cure of the symptoms.
A report is given of 135 panendoscopic examinations in acute upper gastrointestinal bleeding. The importance of endoscopy is underlined by the high incidence of erosions and potential bleeding sources, since these lesions are not detected by radiological examination. Nor is it possible by means of X-rays to distinguish actual sources of haemorrhage from potential sources. The case history is only of limited value in pin-pointing the source of the haemorrhage. Endoscopy yields the best results in the diagnosis of the cause of gastrointestinal bleeding.
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