Lee J G, Leung J
Division of Gastroenterology, University of California Davis Medical Center, Sacramento, California 95817, USA.
Gastrointest Endosc Clin N Am. 1998 Jan;8(1):221-35.
Endoscopic retrograde cholangiopancreatography (ERCP) is highly sensitive at detecting abnormalities of the pancreas and the biliary tract. Radiographic findings may be highly suggestive of malignancy, but a definitive diagnosis requires examination of cellular material obtained by bile or pure pancreatic juice collection, brushing, fine needle aspiration, or biopsy. This article reviews the general concepts of diagnostic testing and its interpretation, as well as specific results of the various methods used during ERCP to obtain tissue samples.
内镜逆行胰胆管造影术(ERCP)在检测胰腺和胆道异常方面具有高度敏感性。影像学检查结果可能高度提示恶性肿瘤,但明确诊断需要对通过胆汁或纯胰液采集、刷检、细针穿刺或活检获得的细胞材料进行检查。本文回顾了诊断检测的一般概念及其解读,以及在ERCP过程中用于获取组织样本的各种方法的具体结果。