Freeny P C, Ball T J
AJR Am J Roentgenol. 1978 Apr;130(4):683-91. doi: 10.2214/ajr.130.4.683.
A series of 118 patients with suspected pancreatic disease was studied by endoscopic retrograde cholangiopancreatography (ERCP). Angiography was subsequently performed in 30 of these patients. ERCP was 95% accurate in the prospective diagnosis of pancreatic carcinoma. This study suggests that angiography is valuable in determining tumor resectability following ERCP diagnosis of pancreatic carcinoma. Angiography may obviate the need for exploratory laparotomy in patients with unresectable tumors and encourage aggressive treatment of resectable lesions. Patients with a high clinical suspicion of pancreatic disease should have angiography if the ERCP is normal, equivocal, or there is a cannulation failure.
对118例疑似胰腺疾病患者进行了内镜逆行胰胆管造影（ERCP）研究。随后对其中30例患者进行了血管造影。ERCP对胰腺癌的前瞻性诊断准确率为95%。本研究表明，血管造影在ERCP诊断胰腺癌后确定肿瘤可切除性方面具有重要价值。血管造影可避免对不可切除肿瘤患者进行剖腹探查，并鼓励对可切除病变进行积极治疗。临床高度怀疑胰腺疾病的患者，如果ERCP结果正常、不明确或插管失败，应进行血管造影。
