title: [Current value of sonography in pancreas diagnosis].
abstract: The topical value of sonography in pancreas diagnosis is examined and discussed in a retrospective study comprising 264 patients. In 80% of the cases sonography can supply clear results if conditions of examination are optimal. Sonography is of excellent value in examining the normal pancreas (88%) and in identifying a pancreatic pseudocyst (93%) and carcinoma of the pancreas (87%). The sonographically guided fine-needle puncture enables cytological verification in more than 60% of the cases of carcinoma of the pancreas by detecting the presence of malignant cells. Invasive investigation methods are used on-target. Thanks to its high power of resolution, computerized tomography is considered as the method of choice in the diagnosis of inflammatory diseases of the pancreas and in clarifying a sonographic finding which lacks clarity. Today the emphasis of ERCP is mainly on detecting ductal changes when suspecting chronic pancreatitis or carcinoma of the pancreas.
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001707:Biopsy, Needle / Q000295:instrumentation; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010179:Pancreas / Q000473:pathology; D010182:Pancreatic Diseases / Q000175:diagnosis* / Q000473:pathology; D010190:Pancreatic Neoplasms / Q000175:diagnosis; D010192:Pancreatic Pseudocyst / Q000175:diagnosis; D010195:Pancreatitis / Q000175:diagnosis; D014463:Ultrasonography
vernacular_title: Die aktuelle Wertigkeit der Sonographie in der Pankreasdiagnostik.