Percutaneous pancreatography under ultrasonographic guidance.
OBJECTIVE
The aim of the study was to evaluate percutaneous pancreatography as an alternative method for pancreatic duct visualisation in patients with pancreatic disease.


METHODS
In 21 patients with pancreatic disease and previously unsuccessful ERCP, puncture of the pancreatic duct was carried out under ultrasonographic guidance with an 0.7-mm Chiba needle, and contrast injection was made under fluoroscopic control in the pancreatic duct.


RESULTS
The procedure was successful in 18 patients (86%). In 10 patients, chronic pancreatitis was found, and in 8 patients, pancreatic carcinoma.


CONCLUSIONS
Percutaneous pancreatography is a good alternative method for visualisation of the pancreatic duct in patients with pancreatic disease and previously unsuccessful ERCP.
Opacić
M
M
Department of Gastroenterology, University Hospital Rebro, Zagreb, Croatia.
Rustemović
N
N
Pulaníc
R
R
Vucelić
B
B
Frković
M
M
Mandić
A
A
D000772:Anesthesia, Local; D002908:Chronic Disease; D003937:Diagnosis, Differential; D005471:Fluoroscopy / Q000295:instrumentation / Q000379:methods; D006801:Humans; D008012:Lidocaine; D010183:Pancreatic Ducts / Q000000981:diagnostic imaging*; D010190:Pancreatic Neoplasms / Q000000981:diagnostic imaging; D010195:Pancreatitis / Q000000981:diagnostic imaging; D011677:Punctures / Q000295:instrumentation / Q000379:methods; D014463:Ultrasonography / Q000295:instrumentation / Q000379:methods
D008012:Lidocaine