SavedAdd your journal

Journals / Annals of Medical Research / 2019 / Cilt: 26 - Sayı: 3

Comparison of diagnostic efficacy of MRCP and ERCP in the management of choledocholithiasis

Bunyamin GURBULAK
Muhammed Zubeyr UCUNCU
Pages
413–418
Publication Date
2022-10-12
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

ERCP should be used for only in therapeutic procedures.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aim: We compared the accuracy of MRCP and ERCP findings in the management of suspected common bile duct stones.Material and Methods: Between September and December 2017, 104 patients underwent MRCP and then ERCP to explain the etiology of cholestasis and elevated liver enzymes and / or the bilirubin levels.
📊
Key Findings & Data:Of these, 49 (47.1%) were males.
💡
Conclusion & Impact:ERCP should be used for only in therapeutic procedures.
🔬Design:Research Article
📍Scope:2017 Verileri
⚙️Variables:Domain Parameters

Abstract

Aim: We compared the accuracy of MRCP and ERCP findings in the management of suspected common bile duct stones.Material and Methods: Between September and December 2017, 104 patients underwent MRCP and then ERCP to explain the etiology of cholestasis and elevated liver enzymes and / or the bilirubin levels. Laboratory values and MRCP were compared with ERCP findings for the accuracy and reliability of laboratory and radiological findings.Results: The one-hundred four patients underwent MRCP and then ERCP. Of these, 49 (47.1%) were males. The mean age of the patients was 60.7 ± 16.4 years. When compared MRCP and ERCP findings, the sensitivity of MRCP was 71%, specificity was 35%, negative predictive value (NPV) was 31% and positive predictive value(PPV) was 75%. The accuracy rate was calculated as 61%Conclusion: The diagnosis of choledocholithiasis, should have been done with primarily MRCP and EUS should be used in cases when MRCP is inadequate. ERCP should be used for only in therapeutic procedures.

🔖

Cite This Article

GURBULAK, B., UCUNCU, M. Z. (2022). Comparison of diagnostic efficacy of MRCP and ERCP in the management of choledocholithiasis. Annals of Medical Research, Cilt: 26 - Sayı: 3, 413–418. https://ajindex.com/articles/447206

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (17)

  1. Everhart JE, Khare M, Hill M, et al. Prevalence and ethnic differences in gallbladder disease in the United States. Gastroenterology 1999;117:632-9
  2. Russo MW, Wei JT, Thiny MT, et al. Digestive and liver diseases statistics 2004. Gastroenterolo-gy. 2004;126:1448-53
  3. Frossard JL, Hadengue A, Amouyal G, et al. Choledocholithiasis: a prospective study of spontane-ous common bile duct pancreatology stone migration. Gastrointest Endosc 2000;51:175-9
  4. Kedia S, Dhingra R, Garg PK. Recurrent acute pancreatitis: an approach to diagnosis and manage-ment. Trop Gastroenterol 2014;34:123-35
  5. Levy MJ, Geenen JE. Idiopathic acute recurrent pancreatitis. Am J Gastroenterol 2001;96:2540-55
  6. Anciaux ML, Pelletier G, Attali P, et al. Prospective study of clinical and biochemical features of symptomatic choledocholithiasis. Dig Dis Sci 1986;31:449-53
  7. Roston AD, Jacobson IM. Evaluation of the pattern of liver tests and yield of cholangiography in symptomatic choledocholithiasis: a prospective study. Gastrointest Endosc 1997;45:394-9
  8. Barbara L, Sama C, Morselli Labate AM, et al. A population based study on the prevalence of gall-stone disease: the Sirmione study. Hepatology 1987;7:913-7
  9. Acosta JM, Ledesma CL. Gallstone migration as a cause of acute pancreatitis. N Engl J Med 1974;290:484-7
  10. Yusuf TE, Bhutani MS. Role of endoscopic ultrasonography in diseases of the extrahepatic biliary system. J Gastroenterol Hepatol 2004;19:243-50
  11. Al-Jiffry BO, Elfateh A, Chundrigar T, et al. Non-invasive assessment of choledocholithiasis in patients with gallstones and abnormal liver func¬tion. World J Gastroenterol 2013;19:5877-82
  12. Rahman R, Ju J, Shamma’s J, et al. Correlation between MRCP and ERCP findings at a tertiary care hospital. W V Med J 2010;106:14-9
  13. Chang JH, Lee IS, Lim YS, et al. Role of magnetic resonance cholangiopancreatography for chole-docholithiasis: analysis of patients with negative MRCP. Scand J Gastroenterol 2012;7:217-24
  14. Sohns JM, Staab W, Dabir D, et al. Current role and future potential of magnetic resonance cholan-giopancreatography with an emphasis on incidental findings. Clin Imaging 2014;38:35-41
  15. Barish MA, Yucel EK, Ferrucci JT. Magnetic resonance cholangiopancreatogra¬phy. N Engl J Med 1999;341:258-64
  16. Makary MA, Duncan MD, Harmon JW, et al. The role of magnetic resonance cholangiography in the man¬agement of patients with gallstone pancreatitis. Ann surg 2005;241:119-24
  17. Gosset J, Devière J, Ma