Role of Endoscopy in the Diagnosis of Papillary Dysfunction

Abstract

The role of endoscopy in the papillary region was analyzed in order to review the functional disturbances of the papillary region and the mechanism of excretion of bile into the duodenum. There are several procedures for the diagnosis of reversible or irreversible papillitis. Many investigators try to clarify the pathogenesis of papillary dysfunction by using the endoscopic method. Endoscopic manometry fills an important role in evaluating papillary dysfunction. Nevertheless, physiological and pathophysiological investigation of the mechanism of excretion of bile are not satisfactory, and the significance of the effects on the papillary region of gastrointestinal hormones such as cholecystokinin (CCK) is not clear. More studies using the endoscopic method are necessary to elucidate the function of the papillary region. Copyright © 1992, Wiley Blackwell. All rights reserved