McCarthy D M, Brown P
Gut. 1969 Nov;10(11):913-20. doi: 10.1136/gut.10.11.913.
The results of a subjective assessment of pancreatic function, based on the appearance of a (75)Se-pancreatic scan, were compared with measurements of the tryptic activity of duodenal aspirates in 16 normal and 38 abnormal subjects. In normals and in abnormals whose scans showed a generalized rather than a localized abnormality there was close agreement between the results of the two sets. In patients with a localized abnormality of the pancreatic head on scanning the tryptic activity of the aspirate was useful in differentiating carcinoma of the pancreas from that of the common bile duct. In general the scan was the more discriminative test though otherwise the places of the two tests in diagnosis are rather similar. The particular situations in which each test is valuable, or in which one or other test can be omitted, are discussed.
基于（75）硒胰腺扫描的表现，对16名正常人和38名异常受试者的胰腺功能进行主观评估，其结果与十二指肠抽吸物胰蛋白酶活性的测量结果进行了比较。在扫描显示为全身性而非局限性异常的正常人和异常受试者中，两组结果之间密切一致。在扫描显示胰头部有局限性异常的患者中，抽吸物的胰蛋白酶活性有助于鉴别胰腺癌和胆总管癌。一般来说，扫描是更具鉴别力的检查，不过在其他方面，这两项检查在诊断中的作用相当相似。文中讨论了每项检查有价值的具体情况，或可以省略其中一项或另一项检查的情况。
