From Big Medical Encyclopedia

PANKREATOGRAFIYA (grech, pankreas, pankreatos a pancreas + grapho to write, represent) — a X-ray analysis of a pancreas in the conditions of its artificial contrasting. The hl is carried out. obr. for the purpose of diagnosis of a pancreatic cancer. In 1951 the technique rentgenol, researches of a pancreas by means of an axial tomography in a combination was developed with pneumoretroperitoneum (see) and inflating of a stomach air. In the subsequent in these conditions entered intravenously 20 — 40 ml of 70% of solution of a triyodirovanny contrast agent together with secretin (at the rate of 1 PIECE of secretin on 1 kg of body weight) and then carried out a X-ray analysis. Such technique received excretory P.'s name, it did not gain distribution since yielded unreliable results.

The wedge, value were kept only by a technique intra-and intraoperative P. was executed by postoperative P. Pervaya in 1951 Leger and Ervey (L. Leger, N. Arway). Further ways P. by a puncture of a pancreat duct were developed; by means of administration of contrast medium in a pancreat duct after its partial resection (in particular, after amputation of a tail of a pancreas and antegrade catheterization of one of channels) or after opening of a duodenum. Carry more often out P. by means of a kanulyation of a faterov of a nipple (a big nipple of a duodenum, T; papilla duodeni major). On depth of 3 — 4 cm enter a thin polyethylene catheter into a pancreat duct, then very slowly 3 — 5 ml of 50% of solution of a triyodirovanny contrast agent also make a X-ray analysis. This technique call also virzun-gografiy. Postoperative P. can be carried out through the drainage left in a pancreat duct after an operative measure.

Implementation in a wedge, practice of a retrograde pankreatokholangiografiya (see. Pankreatokholangiografiya retrograde ) and a computer tomography (see. Tomography computer ) sharply reduced use of the Item.

Bibliography: Vinogradov V. V. and Varnovitsky G. I. Radiodiagnosis of a pancreatic cancer. Wedge, medical, t. 35, No. 4, page 38, 1957; To hell about shch at to T. A. Operational diagnosis of malignizirovanny cysts of a pancreas, Vopr, onkol., t. 24, No. 12, page 44, 1978, bibliogr.; Doubilet H., Rohrs-pelM.H.a. M u 1 h about 1 1 a n d J. H. Pancreatography, Radiology, v. 64, p. 325, 1955; Efficiency and limits of radiologic examination of the pancreas, ed. by H. Anacker, Stuttgart, 1975; L e g e r L. et Arway N. Pancreatographie pre-operatoire, Presse med., t. 59, p. 735, 195 1; S a n s o - pe G., M and with a r i n i N. e t Oliva L. Nouvelle methode d’exploration radiolo-gique du pancreas cbez Penfant, J. Radiol. Eleetrol., t. 32, p. 726, 1951.

L. D. Lindenbraten.