SpringerLink
Log in

Role of ERCP in Chronic Pancreatitis

  • Conference paper
Chronic Pancreatitis

  • 121 Accesses

Abstract

The diagnosis of chronic pancreatitis is made by tests of pancreatic function as well as by demonstration of morphological changes. Endoscopic retrograde cholangiopancreatography (ERCP) has been established as the standard procedure for defining pathologic findings in the ductal system [1, 2]. The main features of chronic pancreatitis in ERCP have been described in numerous studies and several grading systems have been proposed.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Chapter
EUR 29.95
Price includes VAT (Germany)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
EUR 42.79
Price includes VAT (Germany)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
EUR 53.49
Price includes VAT (Germany)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free ship** worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Similar content being viewed by others

References

  1. Niederau C, Grendell JH (1985) Diagnosis of chronic pancreatitis. Gastroenterology 88:1973–1975

    PubMed  CAS  Google Scholar 

  2. Rösch W (1987) ERCP in acute and chronic pancreatitis. In: Sivak MV (ed) Gastroenterologic endoscopy. Saunders, Philadelphia, pp 780–793

    Google Scholar 

  3. Classen M, Hellwig H, Rösch W (1973) Anatomy of the pancreatic duct. Endoscopy 5:14–18

    Article  Google Scholar 

  4. Heitz PU, Klöppel G (1984) Pathomorphology of pancreatitis. In: Gyr KE, Singer MV, Sarles H (eds) Pancreatitis, concepts and classification. Excerpta Medica, Amsterdam, pp 83–85

    Google Scholar 

  5. Rösch W (1983) Die segmentäre Pankreatitis. Leber Magen Darm 13:49–54

    PubMed  Google Scholar 

  6. Sahel J, Sarles H (1984) Chronic calcifying pancreatitis and obstructive pancreatitis — two entities. In: Gyr KE, Singer MV, Sarles H (eds) Pancreatitis, concepts and classification. Excerpta Medica, Amsterdam, pp 47–49

    Google Scholar 

  7. Kasugai T, Kuno N, Kizu M, et al. (1972) Endoscopic pancreatocholangiography. II. The pathological endoscopic pancreatocholangiogramm. Gastroenterology 63:227–234

    PubMed  CAS  Google Scholar 

  8. Axon ATR, Classen M, Cotton PB, et al. (1984) Pancreatography in chronic pancreatitis: international definitions. Gut 25:1107–1112

    Article  PubMed  CAS  Google Scholar 

  9. Cremer M, Deviere J, Engelholm L (1989) Endoscopic management of cysts and pseudocysts in chronic pancreatitis: long-term follow-up after 7 years of experience. Gastrointest Endosc 35:1–9

    Article  PubMed  CAS  Google Scholar 

  10. Schmitz-Moormann P, Himmelmann GW, Brandes JW, et al. (1985) Comparative radiological and morphological study of human pancreas. Pancreatitis-like changes in postmortem ductograms and their morphological pattern. Possible implication for ERCP. Gut 26:406–414

    Article  PubMed  CAS  Google Scholar 

  11. Gullo L, Costa PL, Fontana G, Labo G (1976) Investigation of exocrine pancreatic function by continuous infusion of cerulein and secretin in normal subjects and in chronic pancreatitis. Digestion 14:97–107

    Article  PubMed  CAS  Google Scholar 

  12. Braganza JM, Hunt LP, Warwick F (1982) Relationship between pancreatic exocrine function and ductal morphology in chronic pancreatitis. Gastroenterology 82:1341–1347

    PubMed  CAS  Google Scholar 

  13. Malfertheiner P, Büchler M, Stanescu A, Ditschuneit H (1986) Exocrine pancreatic function in correlation to ductal and parenchymal morphology in chronic pancreatitis. Hepatogastroenterology 33:110–114

    PubMed  CAS  Google Scholar 

  14. Nakano S, Horiguchi Y, Takeda T, et al. (1974) Comparative diagnostic value of endoscopic pancreatography and pancreatic function tests. Scand J Gastroenterol 9:383–390

    PubMed  CAS  Google Scholar 

  15. Valentini M, Cavallini G, Vantini I, et al. (1981) A comparative evaluation of endoscopic retrograde cholangiopancreatography and the secretin-cholecystokinin test in the diagnosis of chronic pancreatitis: a multicenter study in 124 patients. Endoscopy 13:64–67

    Article  PubMed  CAS  Google Scholar 

  16. Rolny P, Lukes JP, Gamklou R, et al. (1978) A comparative evaluation of endoscopic retrograde pancreatography and secretin-CCK test in the diagnosis of pancreatic disease. Scand J Gastroenterol 13:777–781

    Article  PubMed  CAS  Google Scholar 

  17. Ashton MG, Axon ATR, Lintott DJ (1978) Lundh test and ERCP in pancreatic disease. Gut 19:910–915

    Article  PubMed  CAS  Google Scholar 

  18. DiMagno EP, Malagelada JR, Go VLW (1979) The relationship between pancreatic ductal obstruction and pancreatic secretion in man. Mayo Clin Proc 54:157–162

    PubMed  CAS  Google Scholar 

  19. Heji HA, Obertrop H, van Blankenstein M, et al. (1987) Comparison of endoscopic retrograde pancreatography with functional and histologic changes in chronic pancreatitis. Acta Radiol 28:289–293

    Article  Google Scholar 

  20. Cavallini G, Riela A, Angelini GP, et al. (1986) Limitations in the interpretation of endoscopic retrograde pancreatography findings in chronic pancreatitis. In: Malfertheiner P, Ditschuneit H (eds) Diagnostic procedures in pancreatic disease. Springer, Berlin Heidelberg New York, pp 175–184

    Chapter  Google Scholar 

  21. Kreel L, Sandin B (1973) Changes in pancreatic morphology associated with aging. Gut 14:962–970

    Article  PubMed  CAS  Google Scholar 

  22. Laugier R, Baez-Santana C, Dupuy P, Sarles H (1989) Human pancreatic exocrine secretion decreases with age. Gastroenterology 96:A289

    Google Scholar 

  23. Gullo L, Priori P, Daniele C, et al. (1983) Exocrine pancreatic function in the elderly. Gerontology 29:407–411

    Article  PubMed  CAS  Google Scholar 

  24. Stolte W, Weiss W, Volkholz H, Rösch W (1982) A special form of segmental pancreatitis: “groove pancreatitis”. Hepatogastroenterology 29:198–208

    PubMed  CAS  Google Scholar 

  25. Ammann RW, Akovbiantz A, Largiader F, Schueler G (1984) Course and outcome of chronic pancreatitis. Gastroenterology 86:820–828

    PubMed  CAS  Google Scholar 

  26. Ammann RW, Muench R, Otto R, et al. (1988) Evolution and regression of pancreatic calcification in chronic pancreatitis. Gastroenterology 95:1018–1028

    PubMed  CAS  Google Scholar 

  27. Nagata A, Homma T, Tamai K, et al. (1981) A study of chronic pancreatitis by serial endoscopic pancreatography. Gastroenterology 81:884–891

    PubMed  CAS  Google Scholar 

  28. Miyake H, Harada H, Kinichika K, et al. (1987) Clinical course and prognosis of chronic pancreatitis. Pancreas 2:378–385

    Article  PubMed  CAS  Google Scholar 

  29. Stolte M, Schaffner O, Trommsdrof L, et al. (1981) Diagnostischer Wert der Pankreatographie. Inn Med 8:150–155

    Google Scholar 

  30. Ruddell WSJ, Lintott DJ, Axon ATR (1983) The diagnostic yield of ERCP in the investigation of unexplained abdominal pain. Br J Surg 70:74–75

    Article  PubMed  CAS  Google Scholar 

  31. Angelini G, Antolini G, Bovo P, et al. (1987) Frequency of pancreatographic changes in subjects with upper abdominal symptoms and its relationship to alcohol intake. Int J Pancreatol 2:305–310

    PubMed  CAS  Google Scholar 

  32. Winstanley PA, Manning AP, Lintott DJ, Axon ATR (1986) Endoscopic retrograde cholangiopancreatography in pancreatitis with persistent or recurrent pain. Int J Pancreatol 1:407–412

    PubMed  CAS  Google Scholar 

  33. Soehendra N, Grimm H, Schreiber W (1986) Endoskopische transpapilläre Drainage des Ductus Wirsungianus bei der chronischen Pankreatitis. Dtsch Med Wochenschr 111:727–731

    Article  PubMed  CAS  Google Scholar 

  34. Lees WR (1986) Endoscopic ultrasonography of chronic pancreatitis and pancreatic pseudocysts. Scand J Gastroenterol [Suppl 123], 21:123–129

    Article  Google Scholar 

  35. Rösch T, Dancygier H, Lorenz R, et al. (1989) The role of endoscopic ultrasonography in chronic pancreatitis. In: Dancygier H, Classen M (eds) 5th International Symposium on Endoscopic Ultrasonography. Z Gastroenterol [Suppl] Demeter-Verlag S. 26–28

    Google Scholar 

  36. Classen M, Koch H, Demling L (1972) Diagnostische Bedeutung der endoskopischen Kontrastdarstellung des Pankreasgangsystems. Leber Magen Darm 2:79–83

    PubMed  CAS  Google Scholar 

  37. Anacker H, Weiss HD, Kramann B, Gmelin E (1981) Die Treffsicheheit der endoskopischen retrograden Pankreatiko-Cholangiographie in der Diagnostik der Pankreaskrankheiten. Dtsch Med Wochenschr 106:230–233

    Article  PubMed  CAS  Google Scholar 

  38. Belohlavek D (1977) Diagnostische Möglichkeiten der endoskopisch retrograden Cholangiopankreatikographie. Habilitationsschrift, University of Ulm

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Internal Medicine II, Technical University of Munich, Ismaninger Str. 22, D-8000, München 80, Germany

    M. Classen

Authors
  1. T. Rösch
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. M. Classen
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Department of Surgery, University of Ulm, Steinhövelstrasse 9, D-7900, Ulm, W.-Germany

    H. G. Beger M.D.  & M. Büchler M.D.  & 

  2. Department of Internal Medicine II, University of Ulm, Robert-Koch-Strasse 8, D-7900, Ulm, W.-Germany

    H. Ditschuneit M.D.  & P. Malfertheiner M.D.  & 

Rights and permissions

Reprints and permissions

Copyright information

© 1990 Springer-Verlag Berlin Heidelberg

About this paper

Cite this paper

Rösch, T., Classen, M. (1990). Role of ERCP in Chronic Pancreatitis. In: Beger, H.G., Büchler, M., Ditschuneit, H., Malfertheiner, P. (eds) Chronic Pancreatitis. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-75319-0_40

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-75319-0_40

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-75321-3

  • Online ISBN: 978-3-642-75319-0

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation