Sobbe A, Voigt W
Rontgenblatter. 1977 Oct;30(10):503-7.
This is a report of 760 endoscopic cholangiographic procedures. 76% of all examinations answered the given clinical problem. Prepapillar stenosis of the choledochus resulting from pancreatic diseases can be found in 35% of all pathologic findings. The diagnosis of a possible stenosis of the papilla Vateri is not facilitated by a retrograde cholangiographic examination. The intravenous cholangiogram with special regard to bile drainage seems to yield more information. A common drainage hindrance of the pancreatic and bile duct in connection with a stenosis of the papilla was shown in 26%. In 65% of patients with a postcholecystectomy-syndrome organic disease could be demonstrated which made a second operation necessary.
这是一份关于760例内镜胆管造影手术的报告。所有检查中有76%解决了给定的临床问题。在所有病理结果中，35%可发现由胰腺疾病导致的胆总管乳头前狭窄。逆行胆管造影检查不利于诊断 Vater 壶腹可能存在的狭窄。特别关注胆汁引流的静脉胆管造影似乎能提供更多信息。26%显示存在与乳头狭窄相关的胰管和胆管共同引流障碍。在65%的胆囊切除术后综合征患者中可证实存在器质性疾病，这使得有必要进行二次手术。
