Fiberduodenoscopy: analysis of 353 examinations

Kasugai, Tatsuzo; Kuno, Nobuyoshi; Aoki, I; Kizu, Minoru; Kobayashi, Seibi

doi:10.1016/s0016-5107(71)74011-5

Cited by 49 publications

(15 citation statements)

References 11 publications

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“…Since the report of Elmslie et al (24), Hypaque has been widely in use (33,45,50). Lately, Urografin has also been commonly used in ERCP (2,37,59,60,61,84). Apart from the first single case of fatal pancreatic necrosis after peroral pancreatography (2), use of these contrast media has been remarkably free from serious complications.…”

Section: Methodsmentioning

confidence: 99%

“…Firstly, the Eder Fiberoptic duodenoscope was used for ERCP by McCune et al (50), but the Olympus duodenofiberscope JF type B was employed by the majority of workers (6,14,15,33,36,38,41,56,57,59,60,63,68,72,73,87,91) while the Machida fiberduodenoscope FDS-L was also used by the remaining investigators (37,61,84).…”

Section: Instrumentsmentioning

confidence: 99%

“…It is known that an elevation of serum amylase activity can occur as a complication of ERCP (5,37,38,61,84). In our series the serum amylase activity varied directly with the extent of opacification (38).…”

Section: Complications and Their Preventionmentioning

confidence: 99%

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Recent Advances in the Endoscopic Retrograde Cholangiopancreatography

Kasugai

1975

Digestion

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Endoscopic retrograde cholangiopancreatography can become a safe and easy procedure by means of sterilization of the instruments. Administration of antibiotics or chemotherapeutic agents, both systemically and mixed with the contrast material, and measurement and control of the injection pressure of the contrast medium using a manometer are employed to achieve as aseptic an operation as possible. For diagnosis of pancreatic cancer in its early stage, as well as diagnosis of minimal and moderate chronic pancreatitis, opacification should extend into not only the main pancreatic duct, but also branches of the pancreatic duct and fine pancreatic ducts. The procedure is one of the most reliable methods for the detection of diseases of pancreatic and biliary systems, especially for the diagnosis of space-occupying lesions such as malignant tumors, and chronic inflammatory changes of the pancreas, as well as differential diagnosis in jaundiced patients.

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Section: Methodsmentioning

confidence: 99%

Section: Instrumentsmentioning

confidence: 99%

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Recent Advances in the Endoscopic Retrograde Cholangiopancreatography

Kasugai

1975

Digestion

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“…Our patients were collected during a 2-year period when 700 patients were examined, with an incidence rate of 2.6%, much closer to the Japanese figure [6]. The endo scopic appearances were usually patchy, although the inflammatory infiltration was moderate to severe, with erosions present in 6 patients.…”

Section: Discussionmentioning

confidence: 89%

“…Duodenitis makes up an extremely variable propor tion of the reported series of patients investigated for dys pepsia (1.9% [6] to 30.3% [7] of total endoscopic series). Our patients were collected during a 2-year period when 700 patients were examined, with an incidence rate of 2.6%, much closer to the Japanese figure [6].…”

Section: Discussionmentioning

confidence: 99%

The Pathophysiology of Duodenitis

Donovan¹,

Dykes²,

Alexander-Williams³

1986

Dig Surg

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ERCP Overview—A 30‐Year Perspective

Cotton¹

2005

Advanced Digestive Endoscopy: ERCP

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Endoscopic cannulation of the papilla of Vater was first reported in 1968 [1]. However, it was really put on the map shortly afterwards by several Japanese groups, working with instrument manufacturers to develop appropriate long side-viewing instruments [2][3][4][5]. The technique (initially called ECPGa endoscopic cholangiopancreatographyain Japan) spread throughout Europe in the early 1970s [6][7][8][9][10][11][12][13]. Early efforts were much helped by a multinational workshop at the European Congress in Paris in 1972, organized by the Olympus company. ERCP rapidly became established worldwide as a valuable diagnostic technique, although doubts were expressed in the USA about its feasibility and role [14], and the potential for serious complications soon became clear [15][16][17][18]. ERCP was given a tremendous boost by the development of its therapeutic applications, notably biliary sphincterotomy in the mid-1970s [19-21] and biliary stenting 5 years later [22,23].It is difficult for most gastroenterologists today to imagine the diagnostic and therapeutic situation 30 years ago. There were no scans. Biliary obstruction was diagnosed and treated surgically, with substantial operative mortality. Nonoperative documentation of biliary pathology by ERCP was a huge step forward. Likewise, ERCP was an amazing development in pancreatic investigation at a time when the only available test was laparotomy. The ability to 'see into' the pancreas, and to collect pure pancreatic juice [24], seemed like a miracle. We assumed that ERCP would have a dramatic impact on chronic pancreatitis and pancreatic cancer. Sadly, these expectations are not yet realized, but endoscopic management of biliary obstruction was clearly a major clinical advance, especially in the sick and elderly. The period of 15 or so years from the mid-1970s really constituted a 'golden age' for ERCP. Despite significant risks [25], it was obvious to everyone that ERCP management of duct stones and tumors was easier, cheaper, and safer than available surgical alternatives. Large series were published, including some randomized trials [26][27][28][29][30][31]. Percutaneous transhepatic cholangiography (PTC) and its drainage applications were also developed 1 Advanced Digestive Endoscopy: ERCP Edited by Peter B. Cotton, Joseph Leung

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Fiberduodenoscopy: analysis of 353 examinations

Cited by 49 publications

References 11 publications

Recent Advances in the Endoscopic Retrograde Cholangiopancreatography

Recent Advances in the Endoscopic Retrograde Cholangiopancreatography

The Pathophysiology of Duodenitis

ERCP Overview—A 30‐Year Perspective

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