Henry Ford Hospital Medical Journal


Between 7972 and /977, 440 patients underwent endoscopic retrograde cholangiopancreatography (FRCP) at Henry Ford Hospital. The procedure was found to be most useful for identifying the site and nature of an extrahepatic obstruction, the diagnosis of pancreatic cancer, and the preoperative evaluation of chronic pancreatitis. One death occurred as a result of cholangitis in a patient with cancer of the pancreas. Review of the data has led us to refine our indications for FRCP. It has been shown to be a valuable technique with a low incidence of complications in evaluating pancreaticobiliary disease. Based on our study, it would be indicated for jaundiced patients without dilated ducts by echogram or with failure of or contraindication to percutaneous transhepatic cholangiography (PTC), carefully selected patients with unexplained abdominal pain, preoperative evaluation of patients with chronic pancreatitis, and in patients with presumed primary biliary cirrhosis.