The decision-making value of magnetic resonance cholangiopancreatography in patients suspicious for pancreatobiliary diseases

BACKGROUND/AIMS: Endoscopic retrograde cholangiopancreatography (ERCP) is an operator-dependent procedure and has significant procedure-related morbidity and mortality. Magnetic resonance cholangiopancreatography (MRCP) is a safe noninvasive method for pancreatobiliary imaging. The aims of this study were to evaluate the potential impact of MRCP on performing ERCP and to evaluate the decision-making value of MRCP in patients suspicious for pancreatobiliary diseases.

METHODS: Two hundreds twelve patients (M:F 108:104, mean age 59.3 +/- 13.7) who underwent MRCP due to clinical or sonographic suggesting pancreatobiliary disease were included. We divided patients into four groups according to their presumptive diagnosis: biliary stone (group 1), biliary tumor (group 2), gallstone pancreatitis (group 3) and other biliary diseases (group 4).

RESULTS: Numbers of cases in group 1, 2, 3 and 4 were 145, 43, 17 and 7, respectively. In 144 cases (67.9%), ERCP was unnecessary and 76 cases (35.8%) required neither ERCP nor any other treatment. Thereafter, these cases were thought to be a patient group in whom the workload of performing ERCP could be reduced.

CONCLUSIONS: MRCP can reduce the number and efforts doing ERCP and is helpful in decision-making for the treatment of pancreatobiliary disease. Therefore, MRCP could be the primary diagnostic tool before choosing ERCP.

Medienart:

Artikel

Erscheinungsjahr:

2006

Erschienen:

2006

Enthalten in:

Zur Gesamtaufnahme - volume:47

Enthalten in:

The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi - 47(2006), 4 vom: 23. Apr., Seite 306-11

Sprache:

Koreanisch

Beteiligte Personen:

Chang, Yun Jung [VerfasserIn]
Kim, Jae Seon [VerfasserIn]
Kim, Hyoung Seuk [VerfasserIn]
Kim, Myung Gyu [VerfasserIn]
Lee, Ji Yeon [VerfasserIn]
Seo, Yeon Seok [VerfasserIn]
Kim, Cheol Hyun [VerfasserIn]
Kim, Jin Yong [VerfasserIn]
Yeon, Jong Eun [VerfasserIn]
Park, Jong-Jae [VerfasserIn]
Byun, Kwan Soo [VerfasserIn]
Bak, Young-Tae [VerfasserIn]
Lee, Chang Hong [VerfasserIn]

Themen:

English Abstract
Journal Article

Anmerkungen:

Date Completed 03.10.2006

Date Revised 09.03.2017

published: Print

Citation Status MEDLINE

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM162181434