par Huvenne, Raymond ;Duret, Raymond ;Massa, Françoise
Référence Acta gastro-enterologica Belgica (Ed. multilingue), 39, 11-12, page (474-489)
Publication Publié, 1976
Article révisé par les pairs
Résumé : Thanks to its structural analysis potentialities, echotomography is the most reliable method to detect acute pancreatitis and pseudocysts of the pancreas. It is harmless and allows repeated controls throughout the evolution of the disease. This makes echotomography the best screening test for all patients with suspected pancreatopathy. After examination of the results of this investigation, more sophisticated techniques may be suggested. If pancreatitis lato sensu is suspected, endoscopic retrograde cholangiopancreatography is performed at a following stage. If the echography raises a suspicion of neoplastic pathology, a selective arteriography is indicated. After that, stomach and duodenum radiological examinations appear useful investigations, no longer with a diagnostic purpose but with the aim of assessing the extent of the tumoral process. If a pancreas is echotmographically abnormal, the diagnosis of pancreatitis must be abandoned in face of other negative data: the technique indeed detects structure alterations which are not manifested clinically or biologically.