Stömmer P, Kraus J, Foerster E C, Domschke W
Pathologisches Institut, Universität Erlangen.
Leber Magen Darm. 1989 Dec;19(6):311-8.
Newly developed endoscopes make it possible to inspect the major papilla, the pancreatic and choledochal ducts without previous papillotomy. First results of this new method in surgical specimens and patients are presented. Ductal dilatations, and irregularities as well as secretion plugs and calcifications are characteristic phenomenons of chronic pancreatitis; the diagnosis of a malignant pancreatic tumour can be made by observing an irregular compression of the pancreatic duct and the infiltration of its wall. Perhaps by this method precursors of ductal pancreatic cancer will be recognized. We assume that ERCP will be supported by this method.
新开发的内窥镜使得在不进行先前乳头切开术的情况下检查主乳头、胰管和胆管成为可能。本文展示了这种新方法在手术标本和患者中的初步结果。导管扩张、不规则以及分泌物堵塞和钙化是慢性胰腺炎的典型现象；通过观察胰管的不规则受压及其壁的浸润可作出胰腺恶性肿瘤的诊断。也许通过这种方法将能够识别胰腺导管癌的前驱病变。我们认为这种方法将对内镜逆行胰胆管造影（ERCP）起到辅助作用。
