Advertisement

Ultrasonography of the Pancreas

Chapter
  • 57 Downloads

Abstract

Owing to its solid structure and retroperitoneal location, exploration of the pancreas sometimes proves difficult. Up to now, only radiologic techniques have supplemented the information provided by inspection and palpation. These techniques are: ductular opacification by cholangiography or pancreatography, and vascular opacification by ileoportography. Cholangiography simply allows objective verification of the repercussions of a cephalic lesion on the bile duct. Pancreatography can be difficult to effect in the absence of dilation of the principal pancreatic duct. Ileoportography is an invasive and relatively long examination and is very seldom performed in the end. Apart from the fragmentary nature of the information furnished by these different radiologic techniques, they have the drawback of not providing any data about the parenchymatous structure of the gland. Intraoperative sonography does provide such information and further explores ductular structures and the vascular environment. In this context it can be seen to be an easy, quick, richly informative examination.

Keywords

Portal Vein Common Bile Duct Chronic Pancreatitis Pancreatic Duct Superior Mesenteric Artery 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Alexandre JH, Hernigou A, Billebaud T, Bouillot JL, Plainfosse MC (1985) Echotomographie per-opératoire du pancréas. Gastroenterol Clin Biol 9: 572–577.PubMedGoogle Scholar
  2. 2.
    Baumel H, Deixonne B (1986) Pancreatic exocrine cancer. Springer-Verlag, Berlin Heidelberg New York Tokyo.CrossRefGoogle Scholar
  3. 3.
    Bonfils S, Landor JH, Mignon M, Hervoir P (1981) Results of surgical management in 92 consecutive patients with Zollinger-Ellison syndrome. Ann Surg 194: 692–697.PubMedCrossRefGoogle Scholar
  4. 4.
    Chapuis Y, Hernigou A, Plainfosse MC, Bonnette P (1984) Exemples d’application de l’ultrasonographie — temps réel per-opératoire en chirurgie endocrinienne. Chirurgie 110: 97–104.PubMedGoogle Scholar
  5. 5.
    Deveney CW, Deveney KS, Way LW (1978) The Zollinger-Ellison syndrome, 23 years later. Ann Surg 188: 384–391.PubMedCrossRefGoogle Scholar
  6. 6.
    Mercadier M (1985) Management of chronic pancreatitis. In: Advances in hepatic, biliary and pancreatic surgery, 1979–1986. Year Book Medical Publishers, Chicago, USA.Google Scholar
  7. 7.
    Norton J, Sigel B, Baker A et al (1985) Localization of an occult insulinoma by intra-operative ultrasonography. Surgery 97: 381–384.PubMedGoogle Scholar
  8. 8.
    Sigel B, Coelho JC, Nyhus LM et al (1982) Detection of pancreatic tumors by ultrasound during surgery. Arch Surg 117: 1058–1061.PubMedCrossRefGoogle Scholar
  9. 9.
    Sigel B, Duarte B, Coelho JC et al (1983) Localization of insulinomas of the pancreas at operation by real-time ultrasound scanning. Surg Gynaecol Obstet 156: 145–147.Google Scholar
  10. 10.
    Stefanini P, Carboni M, Patrassi N, Basoli A (1974) Beta-islet tumors of the pancreas: results of a study on 1067 cases. Surgery 75: 597–609.PubMedGoogle Scholar
  11. 11.
    Xianju Z, Yu Z, Weiran W, Tonghua L (1980) Insulinoma diagnostic and therapeutic experiences in 60 cases. Clin Med J 93: 149–158.Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1988

Authors and Affiliations

There are no affiliations available

Personalised recommendations