Comparative study of Endoscopic Retrograde Cholangiopancreatography Findings versus Magnetic Resonance Cholangiopancreatography in detection of lesions of the biliary tree in patients with common bile duct dilatation
Saleh, A., Gomaa, A., Hassan, E., Abd ElFattah, A., Ahmed, T. (2024). Comparative study of Endoscopic Retrograde Cholangiopancreatography Findings versus Magnetic Resonance Cholangiopancreatography in detection of lesions of the biliary tree in patients with common bile duct dilatation. EKB Journal Management System, 13(2), 10-17. doi: 10.21608/fumj.2024.250232.1281
Ahmed Mohamed Saleh; Ahmed Ali Gomaa; Essam Ali Hassan; Abd Allah Abbas Abd ElFattah; tarek Ibrahim Ahmed. "Comparative study of Endoscopic Retrograde Cholangiopancreatography Findings versus Magnetic Resonance Cholangiopancreatography in detection of lesions of the biliary tree in patients with common bile duct dilatation". EKB Journal Management System, 13, 2, 2024, 10-17. doi: 10.21608/fumj.2024.250232.1281
Saleh, A., Gomaa, A., Hassan, E., Abd ElFattah, A., Ahmed, T. (2024). 'Comparative study of Endoscopic Retrograde Cholangiopancreatography Findings versus Magnetic Resonance Cholangiopancreatography in detection of lesions of the biliary tree in patients with common bile duct dilatation', EKB Journal Management System, 13(2), pp. 10-17. doi: 10.21608/fumj.2024.250232.1281
Saleh, A., Gomaa, A., Hassan, E., Abd ElFattah, A., Ahmed, T. Comparative study of Endoscopic Retrograde Cholangiopancreatography Findings versus Magnetic Resonance Cholangiopancreatography in detection of lesions of the biliary tree in patients with common bile duct dilatation. EKB Journal Management System, 2024; 13(2): 10-17. doi: 10.21608/fumj.2024.250232.1281

Comparative study of Endoscopic Retrograde Cholangiopancreatography Findings versus Magnetic Resonance Cholangiopancreatography in detection of lesions of the biliary tree in patients with common bile duct dilatation

Fayoum University Medical Journal
Volume 13, Issue 2, April 2024, Page 10-17  XML PDF (252.03 K)
Document Type: Full Length research Papers
DOI: 10.21608/fumj.2024.250232.1281
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Authors
Ahmed Mohamed Saleh email 1; Ahmed Ali Gomaa2; Essam Ali Hassan3; Abd Allah Abbas Abd ElFattah4; tarek Ibrahim Ahmed5
1tropical medicine department, faculty of medicine, Fayoum university, Fayoum, Egypt
2Tropical medicine department, faculty of medicine, Fayoum university, fayoum, Egypt
3Tropical medicine department, faculty of medicine, Fayoum university
4Radiology department, Fayoum university, Fayoum, Egypt
5Internal medicine department, Fayoum university, Fayoum, Egypt
Abstract
Background and aim: There are different modalities that aid in diagnosing common bile duct (CBD) pathologies as Endoscopic-retrograde cholangiopancreatography (ERCP), intraoperative cholangiography, computerized tomography (CT) cholangiography and/or Magnetic resonance cholangiopancreatography (MRCP).
Purpose: to compare ERCP Findings versus MRCP in diagnosing the cause of CBD dilatation.
Methods: The study was a prospective descriptive comparative study that included fifty patients submitted to ERCP in Fayoum University Hospital from February 2020 to September 2021
Results: The causes of biliary obstruction by ERCP are: 20 cases (40%) due to stones, 18 cases (36%) due to stricture, 7 cases (14%) due to both stricture and stones within the CBD, 1 case (2%) mass, 1 case (2%) slipped suture after cholecystectomy, 1 case (2%) is due to CBD tear after cholecystectomy, 1 case (2%) stricture and mud and 1 case (2%) stricture and pus. The sensitivity of MRCP in detection of stones, strictures and masses is 85.19%, 62.96% and 100% respectively while specificity is 95.65%, 100% and 100% respectively
Conclusion: MRCP is a highly specific and sensitive modality for identifying various CBD pathologies, with the exception of biliary strictures, where its sensitivity is lower (62.96%) (P value < 0.001).
Keywords
ERCP; MRCP; Biliary pathologies; CBD strictures
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