[The transumbilical occlusionphlebography of the pancreas, the attempt of a new technique (author's transl)].

The value of selective and superselective arteriography is limited. The difficulties in differentiation between tumors and chronic pancreatitis make it frequently impossible to come to an early diagnosis by the method. Beside arterial vessel changes pathological venous lesions may play a role in view of resectability. Because of anatomical structures phlebography of the vena portae and its origens is not commonly used. Especially selective pancreas phlebography is possible only by means of indirect catherterization. Among the different techniques the transumbilical route seems to be mort effective than recently thought of. In this paper a new technique of pancreas phlebography by means of catheterization of the umbilical vein is introduced. Twelve präparations of human pancreas at autopsy and six postmortal catheterizations of the portal veins in situ in man have been studied. First results of this occlusion-phlebography of the pancreas are presented for the first time. Problems are discussed which may arise when applicating this method in vivo. In is expected to get more important angiographic information about pancreatic diseases. Certainly it can be used to investigate hemodynamic and biochemical changes.