ABSTRACT
Efficacy of double contrast X-ray study of the bile duct was studied. Using barium sulfate it was possible to demonstrate fine mucosal pattern (FMP) of the bile duct in the surgical specimen. Utilizing decompression catheter in 44 patients with extrahepatic jaundice, double contrast study was clinically performed. It was also possible to demonstrate FMP of the bile duct mucosa. Mucosal and intramural spread of bile duct carcinoma were revealed preoperatively. It was also useful in the differential diagnosis of the biliary tract diseases.
Subject(s)
Cholangiography , Aged , Barium Sulfate , Bile Duct Diseases/diagnostic imaging , Bile Duct Neoplasms/diagnostic imaging , Bile Duct Neoplasms/pathology , Bile Ducts/pathology , Cholestasis, Extrahepatic/diagnostic imaging , Contrast Media , Diagnosis, Differential , Female , Humans , Male , Middle Aged , Mucous Membrane/pathologyABSTRACT
Our investigations have shown that only those carcinomas of the pancreas of less than 3 cm. can be cured. In our experience the only way to diagnose such tumours preoperatively is a combination of angiography, ERCP and/or percutaneous transhepatic cholangiography.
Subject(s)
Pancreatic Neoplasms/diagnostic imaging , Adult , Aged , Angiography , Cholangiography , Cholangiopancreatography, Endoscopic Retrograde , Humans , Middle Aged , Pancreatic Ducts/diagnostic imaging , Pancreatic Neoplasms/blood supply , Pancreatic Neoplasms/pathologyABSTRACT
Thorium dioxide (Thorotrast) was used as a contrast medium from 1930 to 1945. It gave excellent contrast and was well tolerated during the application, but due to its radioactivity and its long biological half life it caused various late complications as fibrosis and malignant tumors. The late side effects of the substance are reported on, and the most frequent complication--the induction of hepatomas--is illustrated by two cases.