[The significance of endoscopic retrograde cholangiography (ERC) in biliary stasis and the postcholecystectomy syndrome (author's transl)].
In a group of 103 patients with biliary tract disease only 27% had findings of ERC which were concordant with the operative observations. False-negative results were present in 20%, while in 55% conventional cholangiography did not provide enough opacification for exact diagnosis. The size of the common bile-duct lumen correlated with the degree of biliary stasis. It can, therefore, be used as a good diagnostic indicator. The normal lumen diameter as measured by ERC was 6.29 +/- 1.29 mm in the suprapancreatic part of the common bile-duct. All cholecystectomised patients had a dilated lumen, the borderline value for biliary stasis being at 13-14 mm.
D001650:Bile Duct Neoplasms / Q000150:complications; D001660:Biliary Tract Diseases / Q000000981:diagnostic imaging*; D002758:Cholangiography / Q000009:adverse effects / Q000379:methods*; D002761:Cholangitis / Q000209:etiology; D002763:Cholecystectomy; D002779:Cholestasis / Q000000981:diagnostic imaging* / Q000209:etiology; D003135:Common Bile Duct / Q000033:anatomy & histology; D004724:Endoscopy; D006801:Humans; D010190:Pancreatic Neoplasms / Q000150:complications; D011183:Postoperative Complications / Q000000981:diagnostic imaging*; D018805:Sepsis / Q000209:etiology
Die Bedeutung der endoskopisch-radiologischen Cholangiographie bei Cholestase und Postcholezystektomie-Syndrom