Pancreatogram in cholestasis

• Published in: Gut Vol. 25; no. 4; pp. 424 - 427
• Main Authors: Palmer, K R, Cotton, P B, Chapman, M
• Format: Journal Article
• Language: English
• Published: London BMJ Publishing Group Ltd and British Society of Gastroenterology 01.04.1984; BMJ; BMJ Publishing Group LTD
• Subjects: Adenoma, Bile Duct - complications; Adult; Aged; Bile Duct Neoplasms - complications; Biological and medical sciences; Cholangiopancreatography, Endoscopic Retrograde; Cholangitis - complications; Cholestasis - diagnostic imaging; Cholestasis - etiology; Female; Gastroenterology. Liver. Pancreas. Abdomen; Humans; Liver. Biliary tract. Portal circulation. Exocrine pancreas; Male; Medical sciences; Middle Aged; Other diseases. Semiology; Pancreas - diagnostic imaging; Human; Jaundice; Biliary tract; Pancreatography; Radiodiagnosis; Retrograde; Hepatobiliary disease; Primitive; Malignant cholangioma; Cholostasis; Digestive diseases; Tumor; Endoscopy; Sclerosing cholangitis
• ISSN: 0017-5749; 1468-3288; 1458-3288
• DOI: 10.1136/gut.25.4.424

Endoscopic retrograde pancreatograms have been examined in patients presenting with cholestasis caused by either primary sclerosing cholangitis (13 subjects), or high cholangiocarcinomata (15 subjects), and in normal individuals (13 subjects). Pancreatograms were reported by two independent observers who had no knowledge of the diagnosis in any case and abnormalities were graded using a conventional scoring system. Pancreatograms were abnormal in 77% of cases of primary sclerosing cholangitis and in 60% of cholangiocarcinoma patients. These abnormalities usually consisted of side branch irregularities, although in five patients with primary sclerosing cholangitis and in two with cholangiocarcinoma, the main pancreatic duct was also markedly irregular.