Ariyama J, Shirakabe H, Sumida M, Bartram C I
Gastrointest Radiol. 1979 Aug 15;4(3):231-7. doi: 10.1007/BF01887532.
Out of 1,269 pancreatograms, 122 were abnormal. Angiography was performed in these patients. Fifty-five were found to have pancreatic carcinoma. In the remaining 67 patients a false positive angiographic diagnosis of either chronic pancreatitis or pancreatic cancer was made in 11%. In one patient a hemangioma was diagnosed as a pancreatic cyst. The remaining 58 patients all had normal pancreatic angiograms in spite of gross ductal abnormality on endoscopic retrograde cholangiopancreatography (ERCP). All these patients were followed for an average of 19 months and showed no clinical evidence of pancreatic disease. It is suggested that angiography should be considered a complementary examination to ERCP and is particularly useful to exclude carcinoma when the pancreatogram is abnormal.
在1269例胰管造影中，122例异常。对这些患者进行了血管造影。发现55例患有胰腺癌。在其余67例患者中，血管造影对慢性胰腺炎或胰腺癌的误诊率为11%。有1例患者的血管瘤被诊断为胰腺囊肿。其余58例患者尽管内镜逆行胰胆管造影（ERCP）显示有明显的导管异常，但胰腺血管造影均正常。所有这些患者平均随访19个月，均无胰腺疾病的临床证据。建议血管造影应被视为ERCP的补充检查，尤其在胰管造影异常时，对排除癌症特别有用。
