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Korean J Pancreas Biliary Tract > Volume 2(1):1997 > Article
The Korean Journal of Pancreas and Biliary Tract 1997;2(1):37-43.
Mucinous Ductal Ectasia에서 췌관경 검사의 유용성
서동완1, 김명환1, 이성구1, 유병무1, 정성애1, 명승재1, 민영일1, 공경엽2, 오용호3
1울산대학교 의과대학 서울중앙병원 내과학교실
2울산대학교 의과대학 서울중앙병원 병리학교실
3울산대학교 의과대학 서울중앙병원 방사선과학교실
The Usefulness of Pancreatoscopic Examination in Patients with Mucinous Ductal Ectasia
Dong Wan Seo1, Myung Hwan Kim1, Sung Koo Lee1, Byeong Moo Yoo1, Sung Ae Jung1, Seung Jae Myung1, Young Il Min1, Gyungyub Gong2, Yong Ho Auh3
1Department of Internal Medicine, Asan Medical Center, University of Ulsan, Seoul, Korea
2Department of Pathology, Asan Medical Center, University of Ulsan, Seoul, Korea
3Department of Radiology, Asan Medical Center, University of Ulsan, Seoul, Korea
Corresponding author:  Myung Hwan Kim,
ABSTRACT
We report three cases of mucinous ductal ectasia which was suggested by the abdominal computed tomography and finally diagnosed by the duodenoscopy with pancreatosocpy. Duodenoscopic findings of ampulla Vater demonstrated patulous papillary orifice and extrusion of viscid mucus. Pancreatoscopic examination was performed in all three cases and characteristic findings such as papillary or villous mucosal projections coated with whitish gelatinous mucus were noted. In patients of mucinous ductal ectasia with an equivocal radiologic appearance, pancreatoscopic examination may give valuable information in the differential diagnosis of amorphous filling defects in the main pancreatic duct and may provide some information in determining the extent of pathology and the resection margin.
Keywords: Mucinous ductal ectasia, Pancreatoscopy
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