Pancreatic Juice Response to Secretin, Pancreatic Juice and Serum Carcinoembryonic Antigen (CEA) and Endoscopic Retrograde Cholangiopancreatography (ERCP) in the Study of Pancreatic Disease

1977 ◽  
Vol 53 (3) ◽  
pp. 16P-16P
Author(s):  
D. L. Carr-Locke
Keyword(s):  
Carcinoembryonic Antigen ◽  
Endoscopic Retrograde Cholangiopancreatography ◽  
Pancreatic Juice ◽  
Pancreatic Disease ◽  
Endoscopic Retrograde ◽  
Serum Carcinoembryonic Antigen

Evaluation of endoscopic ultrasound (EUS) and endoscopic retrograde cholangiopancreatography (ERCP) in pancreatic disease

2000 ◽  
Vol 118 (4) ◽  
pp. A256
Author(s):  
Harald Binczyk ◽  
Ute Braun ◽  
Mechthild Langer ◽  
Ute Stabenow ◽  
Gerd Lux ◽  
...  
Keyword(s):  
Endoscopic Retrograde Cholangiopancreatography ◽  
Endoscopic Ultrasound ◽  
Pancreatic Disease ◽  
Endoscopic Retrograde

Endoscopic Retrograde Cholangiopancreatography and Endoscopic Sphincterotomy: Experience in the Sudan

1993 ◽  
Vol 23 (1) ◽  
pp. 20-23
Author(s):  
Sulieman S Fedail ◽  
A Alia Gaber ◽  
Ikhals Sulieman
Keyword(s):  
Pancreatic Cancer ◽  
Endoscopic Retrograde Cholangiopancreatography ◽  
Endoscopic Sphincterotomy ◽  
Advanced Pancreatic Cancer ◽  
Biliary Tract Disease ◽  
Biliary Tree ◽  
Pancreatic Disease ◽  
Endoscopic Retrograde ◽  
Abnormal Finding ◽  
Tract Disease

Over a 5 year period 626 endoscopic retrograde cholangiopancreatography (ERCP) examinations were attempted in Khartoum, Sudan. The relevant duct was successfully cannulated and visualized in 94% of cases of biliary tract disease and in 73% of cases of pancreatic disease. This was due to the large number of cases with advanced pancreatic cancer. The commonest abnormal finding was stones in the biliary tree in 214 cases (35% of all cases). Cholangiocarcinoma was seen in 18 cases, pancreatic cancer in 64 cases, chronic pancreatitis in 48 cases and periampullary carcinoma in 20 cases. ERCP was considered normal in 100 cases. Endoscopic sphincterotomy (EST) was performed in 48 cases; 44 had common duct stones. ERCP and EST are feasible and useful procedures in a developing country. However they are expensive and should be carried out in referral centres.

scholarly journals Bilateral Pneumothorax and Subcutaneous Emphysema following Endoscopic Retrograde Cholangiopancreatography: A Rare Complication

2010 ◽  
Vol 2010 ◽  
pp. 1-3 ◽  
Author(s):  
Fotios Sampaziotis ◽  
Alan Wiles ◽  
Syed Shaukat ◽  
Richard J. Dickinson
Keyword(s):  
Endoscopic Retrograde Cholangiopancreatography ◽  
Subcutaneous Emphysema ◽  
Rare Complication ◽  
Pancreatic Disease ◽  
Therapeutic Modality ◽  
Duodenal Perforation ◽  
Chest Drain ◽  
Bilateral Pneumothorax ◽  
Endoscopic Retrograde ◽  
Quick Recovery

Endoscopic Retrograde Cholangiopancreatography (ERCP) is a widely used diagnostic and therapeutic modality in the management of biliary and pancreatic disease. Some of the complications of the procedure, although rare, may carry significant morbidity and mortality risks. We describe the case of a 68-year-old female who underwent elective ERCP for ductal stone clearance. Immediately postprocedure, the patient developed subcutaneous emphysema and bilateral pneumothoraces. Further imaging revealed the presence of free intra-abdominal air. The patient made a very quick recovery after bilateral chest drain insertion and no further intervention was required. We propose that pneumothorax, pneumomediastinum, and subcutaneous emphysema during ERCP, in the absence of duodenal perforation may be explained by leakage of air from a site of low resistance such as the sphincterotomy site, or as a result of copious Valsalva manoeuvres performed by a patient tolerating the procedure poorly.

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