Comparison of MRCP and ERCP findings: a retrospective secondary data analysis

Abstract

Objective: To compare the findings of magnetic resonance cholangiopancreatography and endoscopic retrograde cholangiopancreatographyin patients presenting with bile duct disorders. Methodology: The retrospective secondary-data study was conducted at the Gastroenterology Department of Lady Reading Hospital, Peshawar, Pakistan,and comprised data of patients who presented with bile duct disordersfrom June2019 to May2020. Data was analysed using SPSS 25. Results: Of the 92 patients, 41(44.6%) were males and 51(55.4%) were females. The overall mean age was 50.12 years with a standard deviation of 16.70 years (ranged: 13-80 years). Out of 28 bile duct calculi cases detected by endoscopic retrograde cholangiopancreatography, 25(89.3%) were detected by magnetic resonance cholangiopancreatography, and, of the 64 without calculi, it detected 50(78.1%). Out of 8 bile duct strictures detected by endoscopic retrograde cholangiopancreatography, 3(37.5%) were correctly diagnosed by magnetic resonance cholangiopancreatography, and, of the 84 unaffected patients, it excluded 79(94%). Out of 64 bile duct dilatation cases, magnetic resonance cholangiopancreatography correctly diagnosed 59(92.2%), and, of the 28 unaffected patients, it excluded 27(96.4%). Conclusion: For bile duct stone and dilation, magnetic resonance cholangiopancreatography was found to have high diagnostic accuracy. Key Words: Choledocholithiasis, Cholangiopancreatography, MRCP, ERCP. Continuous...

Endoscopic retrograde cholangiopancreatography is not necessary in all patients with an abnormal intraoperative cholangiogram

“…Comparing the findings of MRCP and ERCP, MRCP was found to have high diagnostic accuracy for bile duct stone (89.3%). 7 Our study adds further evidence to support the role of MRCP prior to ERCP as it is an independent predictor of choledocholithiasis at ERCP in patients with suspected filling defects on IOC.…”

Comparison of diagnostic usefulness of magnetic resonance cholangiopancreatography (MRCP) with endoscopic retrograde cholangiopancreatography (ERCP) in evaluation of patients with obstructive jaundice.

“…They reported the sensitivity of MRCP for malignant lesions as 92%. 19 Jagtap N et al studied MRCP and ERCP for their sensitivity for choledocholithiasis detection and shared the results as 80% and 90% respectively. 20 Hanif et al compared MRCP and ERCP for their sensitivity in pathologies of hepatopancreato biliary tract and reported it as 91% and 82% respectively with a p-value of >0.05.…”

A novel diagnosis model of cholangiocarcinoma for ERCP patients underwent Spyglass: development, validation, and clinical utility of an online platform

“…However, there is no speci c diagnostic model for malignant CCA combined with endoscopic and clinical laboratory data [2,17] . Therefore, we aimed to construct a predictive model employing RF algorithms for CCA and develop a public online nomogram platform to improve endoscopic prognosis [3,8,9] .…”