PERCUTANEOUS PANCREATOGRAPHY UNDER ULTRASONOGRAPHIC GUIDANCE

Purpose: The aim of the study was to evaluate percutaneous pancreatogr aphy as an alternative method for pancreatic duct visualisation in pat ients with pancreatic disease. Material and Methods: In 21 patients wi th pancreatic disease and previously unsuccessful ERCP, puncture of th e pancreatic duct was carried out under ultrasonographic guidance with an 0.7-mm Chiba needle, and contrast injection was made under fluoros copic control in the pancreatic duct. Results: The procedure was succe ssful in 18 patients (86%). In 10 patients, chronic pancreatitis was f ound, and in 8 patients, pancreatic carcinoma. Conclusion: Percutaneou s pancreatography is a good alternative method for visualisation of th e pancreatic duct in patients with pancreatic disease and previously u nsuccessful ERCP.