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Updated: Jul 6, 2026
08:57
Laparoscopic Pancreatoduodenectomy With Modified Blumgart Pancreaticojejunostomy
Published on: June 17, 2018
Summary
The Lundh test and endoscopic retrograde cholangiopancreatography (ERCP) effectively assess pancreatic disease severity. A normal Lundh test strongly suggests no significant chronic pancreatic issues, while abnormal results correlate with ERCP findings.
Area of Science:
- Gastroenterology
- Diagnostic Imaging
- Pancreatic Physiology
Background:
- Pancreatic disease diagnosis relies on correlating clinical symptoms with imaging and functional tests.
- Endoscopic retrograde cholangiopancreatography (ERCP) and the Lundh test are key diagnostic modalities.
Purpose of the Study:
- To evaluate the correlation between the Lundh test and ERCP in diagnosing pancreatic disease.
- To establish the diagnostic value of mean tryptic activity (MTA) in relation to pancreatogram findings.
Main Methods:
- Investigated 40 patients with suspected pancreatic disease using the Lundh test and ERCP.
- Classified pancreatograms as normal, minimal, or gross changes.
- Measured mean tryptic activity (MTA) and correlated it with radiographic findings.
Main Results:
- Good correlation (P < 0.01) observed between Lundh test and ERCP in assessing pancreatic disease.
- Gross changes associated with MTA < 6 IU/ml; minimal changes with MTA 6-14 IU/ml.
- Normal pancreatograms seen with MTA > 14 IU/ml, but abnormal pancreatograms never occurred with MTA > 14 IU/ml.
Conclusions:
- The Lundh test is valuable for detecting extensive pancreatic disease; a normal result excludes significant chronic pancreatitis.
- Equivocal Lundh test results can indicate early pancreatitis, potentially confirmed by ERCP.
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