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Fourteen patients with verified pancreatic cysts were examined by both preoperative endoscopic retrograde pancreatography (ERP) and ultrasonic scanning. ERP showed filling of a cyst in 4 patients and raised suspicion of a cyst in 8. In two patients it was not possible to visualize the pancreatic duct. Ultrasonic scanning showed a cyst in 12 patients. There were two false negative ultrasonic diagnoses. These two were correctly diagnosed by ERP. Ultrasonically guided percutaneous puncture was carried out on 19 occasions in 8 patients. Cysts down to 2 cm in diameter were punctured without difficulty. There were no clinically significant complications due to the punctures. One patient was followed for 20 months without ultrasonically demonstrable recurrence of a large cyst aspirated, showing that definite therapy is possible by this method. Puncture can be used to verify the diagnosis and as treatment in patients where surgery is contraindicated.
B N Andersen, and
S Hancke, and
S A Nielsen, and
A Schmidt
May 1974,
Zeitschrift fur die gesamte innere Medizin und ihre Grenzgebiete,
B N Andersen, and
S Hancke, and
S A Nielsen, and
A Schmidt
June 1980,
Hepato-gastroenterology,
B N Andersen, and
S Hancke, and
S A Nielsen, and
A Schmidt
February 1974,
Orvosi hetilap,
B N Andersen, and
S Hancke, and
S A Nielsen, and
A Schmidt
July 1980,
Orvosi hetilap,
B N Andersen, and
S Hancke, and
S A Nielsen, and
A Schmidt
May 1994,
Pancreas,
B N Andersen, and
S Hancke, and
S A Nielsen, and
A Schmidt
September 1976,
Orvosi hetilap,
B N Andersen, and
S Hancke, and
S A Nielsen, and
A Schmidt
January 1980,
Sovetskaia meditsina,
B N Andersen, and
S Hancke, and
S A Nielsen, and
A Schmidt
January 1987,
Digestion,
B N Andersen, and
S Hancke, and
S A Nielsen, and
A Schmidt
January 1981,
Acta radiologica: diagnosis,
B N Andersen, and
S Hancke, and
S A Nielsen, and
A Schmidt
February 1980,
Revista espanola de las enfermedades del aparato digestivo,
