Takishima T, Horiike S, Sugimoto K, Asari Y, Hirata M, Kikuno T, Kakita A, Owada T, Maekawa K
Department of Traumatology and Critical Care Medicine, Kitasato University School of Medicine, Kanawaga, Japan.
J Trauma. 1996 Feb;40(2):253-7. doi: 10.1097/00005373-199602000-00013.
Endoscopic retrograde pancreatography (ERP) is performed on patients with pancreatic injury after abdominal trauma. To delineate pancreatic ductal injuries more accurately, we performed repeat computed tomography (CT) shortly after completion of ERP. We describe our experiences with six patients to demonstrate the feasibility and utility of this method. In our cases, the diagnosis of pancreatic ductal injury was made with certainty on the basis of the presence of extravasated contrast medium. This protocol is useful for reaffirmation of injuries noted on ERP, for diagnosis of injuries not noted on ERP, and for exclusion of injuries in patients with equivocal results of ERP. Moreover, the protocol is easy to implement because it involves only the transfer of the patient from the endoscopy to the CT suite. The technique can be used to clarify potentially confusing situations.
内镜逆行胰胆管造影（ERP）用于腹部外伤后胰腺损伤的患者。为了更准确地描绘胰管损伤情况，我们在ERP完成后不久进行了重复计算机断层扫描（CT）。我们描述了6例患者的经验，以证明该方法的可行性和实用性。在我们的病例中，基于造影剂外渗确定了胰管损伤的诊断。该方案有助于再次确认ERP中发现的损伤、诊断ERP中未发现的损伤以及排除ERP结果不明确患者的损伤。此外，该方案易于实施，因为仅需将患者从内镜检查室转移至CT检查室。该技术可用于澄清可能令人困惑的情况。
