Fölsch U R
Z Gastroenterol. 1978 Mar;16(3):149-55.
The diagnostic tools and functional analyses during endoscopic retrograde cholangio-pancreatography (ERCP) are critically surveyed. The most important recent advance seems to be manometry in the bile- and pancreatic duct if a reproducible technique has been established. Pancreatic- and biliary juice cytology is of limited value in early diagnosis of pancreatic cancer only; this holds true for the estimation of carcinoembryonic antigen (CEA). However, both techniques are supplemental procedures in ERCP. Pancreatic function test from pure pancreatic juice is of no obvious advantage compared to the duodenal aspiration procedure; at present it is of scientific interest only as are the analysis of the pattern of pancreatic juice proteins and measurement of the viscosity of the pancreatic juice.
本文对内镜逆行胰胆管造影术（ERCP）中的诊断工具和功能分析进行了批判性综述。如果已经建立了可重复的技术，那么近期最重要的进展似乎是胆管和胰管测压。胰液和胆汁细胞学检查仅在胰腺癌的早期诊断中价值有限；癌胚抗原（CEA）的评估也是如此。然而，这两种技术都是ERCP中的补充程序。与十二指肠抽吸术相比，从纯胰液进行的胰腺功能测试没有明显优势；目前，它仅具有科学研究意义，就像胰液蛋白质模式分析和胰液粘度测量一样。
