Ruddell W S, Lintott D J, Axon A T
Br J Surg. 1983 Feb;70(2):74-5. doi: 10.1002/bjs.1800700206.
One hundred and forty patients with undiagnosed severe chronic abdominal pain who had not undergone previous biliary surgery were investigated by ERCP. A diagnosis was achieved in 34 patients (24 per cent) including 8 with previously undiagnosed peptic ulceration and 5 with gallstones. Twenty-five patients (18 per cent) had an abnormal pancreatogram, including 1 with pancreatic cancer. The incidence of pancreatogram abnormalities suggestive or diagnostic of pancreatitis was particularly high (60 per cent) in patients with a history of alcohol abuse. ERCP has a valuable role in the investigation of patients with 'obscure' abdominal pain.
对140例未确诊的严重慢性腹痛且此前未接受过胆道手术的患者进行了内镜逆行胰胆管造影（ERCP）检查。34例患者（24%）明确了诊断，其中8例为先前未确诊的消化性溃疡，5例为胆结石。25例患者（18%）胰管造影异常，其中1例为胰腺癌。有酗酒史的患者中，提示或诊断为胰腺炎的胰管造影异常发生率特别高（60%）。ERCP在“不明原因”腹痛患者的检查中具有重要作用。
