Choledochal cysts: comparison of findings at MR cholangiopancreatography and endoscopic retrograde cholangiopancreatography in eight patients.

Matos, Celso; Nicaise, Nicole; Devière, Jacques; Cassart, Marie; Metens, Thierry; Struyven, Julien; Cremer, Michel

doi:10.1148/radiology.209.2.9807571

Cited by 115 publications

(68 citation statements)

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“…A false positive diagnosis of biliary atresia in an infant with sclerosing cholangitis, in whom MRCP could not show extrahepatic bile ducts because of its small calibre, was reported by Guband et al [13]. Although it has been reported that a small gall bladder by MRCP can be considered highly suggestive of biliary atresia, [22] Matos et al states that biliary atresia could be ruled out if the extrahepatic bile duct is completely identified at MRCP [23]. In our study MRCP had a sensitivity, specificity and accuracy of 84.61%, 85.71 and 85% respectively , which was similar sensitivity (85%) to that reported by Yang et al [18] higher than reported by Nortan et al [24].…”

Section: Discussionmentioning

confidence: 99%

Comparison of MRCP with Intraoperative Cholangiography in Paediatric Choledochal Cyst and Biliary Atresia

Hamid¹,

Bhat²,

Baba³

et al. 2017

JGPLD

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Background: Hepatobiliary and pancreatic disorders in children are infrequent and include Duct union (APBD -union), Extra hepatic biliary atresia (EHBA), Caroli's disease, primary sclerosing cholangitis, pancreas divisum and pancreatic duct abnormalities. A range of investigations have been used for evaluation of these disorders in children ranging from sonography, HIDA Scan computed tomography, ERCP, Cholangiography and MRCP. Among these MRCP is a non-invasive investigation which has the potential to delineate the hepatobiliary pancreatic ductal system preoperatively to help surgeon in diagnosis and operative planning

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Section: Discussionmentioning

confidence: 99%

Comparison of MRCP with Intraoperative Cholangiography in Paediatric Choledochal Cyst and Biliary Atresia

Hamid¹,

Bhat²,

Baba³

et al. 2017

JGPLD

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“…More recently, MRCP has become available and, as a noninvasive method, is a promising alternative. 18 CT may be of help in patients with intrahepatic cysts 19 and patients suspected of maligancy. 2 Plain abdominal films, laparoscopy, and gastroduodenoscopy are not used as standard diagnostic tools for choledochal cysts and in this study were mainly performed during workup of the patient when the diagnosis was still unclear.…”

Section: Discussionmentioning

confidence: 99%

“…18 However, liver transplantation has been suggested for prevention of malignancy in extensive intrahepatic cysts. 21 …”

Section: Discussionmentioning

confidence: 99%

Choledochal cysts: Age of presentation, symptoms, and late complications related to Todani's classification

Vries

Aronson

et al. 2002

Journal of Pediatric Surgery

206

166

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“…Many PBM cases can be diagnosed from MRCP based on findings of an anomalous union between the common bile duct and pancreatic duct in addition to a long common channel [7][8][9][10]. MRCP is thus useful for diagnosing children and screening for PBM [7].…”

Section: Diagnostic Criteria For Pbm 2013mentioning

confidence: 99%

Pancreaticobiliary maljunction and biliary cancer

et al. 2014

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Pancreaticobiliary maljunction (PBM) is a congenital malformation in which the pancreatic and bile ducts join anatomically outside the duodenal wall. Japanese clinical practice guidelines on how to deal with PBM were made in 2012, representing a world first. According to the 2013 revision to the diagnostic criteria for PBM, in addition to direct cholangiography, diagnosis can be made by magnetic resonance cholangiopancreatography (MRCP), 3-dimensional drip infusion cholangiography computed tomography, endoscopic ultrasonography (US), or multiplanar reconstruction images by multidetector row computed tomography. In PBM, the common channel is so long that sphincter action does not affect the pancreaticobiliary junction, and pancreatic juice frequently refluxes into the biliary tract. Persistence of refluxed pancreatic juice injures epithelium of the biliary tract and promotes cancer development, resulting in higher rates of carcinogenesis in the biliary tract. In a nationwide survey, biliary cancer was detected in 21.6 % of adult patients with congenital biliary dilatation (bile duct cancer, 32.1 % vs. gallbladder cancer, 62.3 %) and in 42.4 % of PBM patients without biliary dilatation (bile duct cancer, 7.3 % vs. gallbladder cancer, 88.1 %). Pathophysiological conditions due to pancreatobiliary reflux occur in patients with high confluence of pancreaticobiliary ducts, a common channel C6 mm long, and occlusion of communication during contraction of the sphincter. Once the diagnosis of PBM is established, immediate prophylactic surgery is recommended. However, the surgical strategy for PBM without biliary dilatation remains controversial. To detect PBM without biliary dilatation early, MRCP is recommended for patients showing gallbladder wall thickening on screening US under suspicion of PBM.

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Choledochal cysts: comparison of findings at MR cholangiopancreatography and endoscopic retrograde cholangiopancreatography in eight patients.

Abstract: MRCP provides information equivalent to that provided with ERCP, without potential complications, for the preoperative assessment of choledochal cysts. Dynamic secretin-stimulated MRCP studies might help better understand the pathophysiologic characteristics of this entity.

Cited by 115 publications

References 0 publications

Comparison of MRCP with Intraoperative Cholangiography in Paediatric Choledochal Cyst and Biliary Atresia

Comparison of MRCP with Intraoperative Cholangiography in Paediatric Choledochal Cyst and Biliary Atresia

Choledochal cysts: Age of presentation, symptoms, and late complications related to Todani's classification

Pancreaticobiliary maljunction and biliary cancer

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