Endoscopic Retrograde Cholangio-pancreatography in Pancreatitis with Persistent or Recurrent Pain

Overview

Journal Int J Pancreatol

Specialty Gastroenterology

Date 1986 Dec 1

PMID 3681032

Authors

P A Winstanley

A P Manning

D J Lintott

A T Axon

Affiliations

Soon will be listed here.

Abstract

We have reviewed the endoscopic retrograde cholangiopancreatograms (ERCPs) of 115 patients already known to have pancreatitis, who were referred because of persistent or recurrent pain, in order to determine the prevalence of those lesions that have been regarded as amenable to conservative surgery. Such lesions were seen on the pancreatograms of 35 patients and on the cholangiograms of 29 patients. In all, 53 patients (46.1%) had 'treatable' lesions demonstrated at ERCP. Preoperative ERCP is helpful in demonstrating operable features in both pancreatic and biliary systems, and should be part of any prospective long-term study of pain relief in pancreatitis.

References

Sarner M, Cotton P . Classification of pancreatitis. Gut. 1984; 25(7):756-9. PMC: 1432589. DOI: 10.1136/gut.25.7.756. View

Cotton P . Pancreas divisum--curiosity or culprit?. Gastroenterology. 1985; 89(6):1431-5. DOI: 10.1016/0016-5085(85)90667-5. View

Braganza J, Hunt L, Warwick F . Relationship between pancreatic exocrine function and ductal morphology in chronic pancreatitis. Gastroenterology. 1982; 82(6):1341-7. View

Classen M, Phillip J . Endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic therapy in pancreatic disease. Clin Gastroenterol. 1984; 13(3):819-42. View

Leger L, LENRIOT J, LEMAIGRE G . Five to twenty year followup after surgery for chronic pancreatitis in 148 patients. Ann Surg. 1974; 180(2):185-91. PMC: 1343636. DOI: 10.1097/00000658-197408000-00010. View

Axon A, Classen M, Cotton P, Cremer M, Freeny P, Lees W . Pancreatography in chronic pancreatitis: international definitions. Gut. 1984; 25(10):1107-12. PMC: 1432537. DOI: 10.1136/gut.25.10.1107. View

Caletti G, Brocchi E, Agostini D, Balduzzi A, Bolondi L, LABO G . Sensitivity of endoscopic retrograde pancreatography in chronic pancreatitis. Br J Surg. 1982; 69(9):507-9. DOI: 10.1002/bjs.1800690904. View

Cooper M, Williamson R . Drainage operations in chronic pancreatitis. Br J Surg. 1984; 71(10):761-6. DOI: 10.1002/bjs.1800711008. View

Delhaye M, Engelholm L, Cremer M . Pancreas divisum: congenital anatomic variant or anomaly? Contribution of endoscopic retrograde dorsal pancreatography. Gastroenterology. 1985; 89(5):951-8. DOI: 10.1016/0016-5085(85)90193-3. View

10.

Richter J, Schapiro R, Mulley A, Warshaw A . Association of pancreas divisum and pancreatitis, and its treatment by sphincteroplasty of the accessory ampulla. Gastroenterology. 1981; 81(6):1104-10. View

11.

Segal I, Lawson H, Rabinowitz B, HAMILTON D . Chronic pancreatitis and the hepatobiliary system. Am J Gastroenterol. 1982; 77(11):867-74. View

12.

Warshaw A, Schapiro R, Ferrucci Jr J, Galdabini J . Persistent obstructive jaundice, cholangitis, and biliary cirrhosis due to common bile duct stenosis in chronic pancreatitis. Gastroenterology. 1976; 70(4):562-7. View

13.

Gilinsky N, Leung J, Heron C, Cotton P . Calcific pancreatitis: calcification patterns and pancreatogram correlations. Clin Radiol. 1984; 35(5):401-4. DOI: 10.1016/s0009-9260(84)80203-2. View

14.

Mitchell C, Lintott D, Ruddell W, Losowsky M, Axon A . Clinical relevance of an unfused pancreatic duct system. Gut. 1979; 20(12):1066-71. PMC: 1412822. DOI: 10.1136/gut.20.12.1066. View

15.

Cotton P . Congenital anomaly of pancreas divisum as cause of obstructive pain and pancreatitis. Gut. 1980; 21(2):105-14. PMC: 1419363. DOI: 10.1136/gut.21.2.105. View

16.

Frey C, Bodai B . Surgery in chronic pancreatitis. Clin Gastroenterol. 1984; 13(3):913-40. View

17.

Warshaw A . Pain in chronic pancreatitis. Patients, patience, and the impatient surgeon. Gastroenterology. 1984; 86(5 Pt 1):987-9. View

18.

Russell R, Wong N, Cotton P . Accessory sphincterotomy (endoscopic and surgical) in patients with pancreas divisum. Br J Surg. 1984; 71(12):954-7. DOI: 10.1002/bjs.1800711214. View

19.

BERMAN L, PRIOR J, ABRAMOW S, ZIEGLER D . A study of the pancreatic duct system in man by the use of vinyl acetate casts of postmortem preparations. Surg Gynecol Obstet. 1960; 110:391-403. View

20.

Ammann R, AKOVBIANTZ A, Largiader F, Schueler G . Course and outcome of chronic pancreatitis. Longitudinal study of a mixed medical-surgical series of 245 patients. Gastroenterology. 1984; 86(5 Pt 1):820-8. View