Diagnostic impact of computed tomography cholangiography and magnetic resonance cholangiopancreatography on pancreaticobiliary maljunction

The role of 64‐slice CT following perfusion with iohexol via the hepatopancreatic ampulla in assessing pancreaticobiliary junctions

“…An advantage of MSCT is that it yields high‐quality images without respiratory artifacts, making it useful for identifying pancreaticobiliary maljunctions in children. However, fewer biliary and pancreatic ducts were successfully visualized in this study than that reported by Fumino et al (). Also, a marked reduction of the dosage is needed, as in a previous study by Imai et al (in press).…”

“…Kamisawa et al () used conventional MRCP to examine 32 patients with congenital pancreaticobiliary malformations diagnosed by ERCP, and obtained identical diagnoses with MRCP alone in 23 (72%) cases. Fumino et al () reported 53 APDJ cases and showed that MRCP enables the intrahepatic duct and the pancreatic system to be visualized better than by CT cholangiography. However, it is still challenging to perform good‐quality examinations of young infants.…”

Usefulness and safety of endoscopic retrograde cholangiopancreatography in children with pancreaticobiliary maljunction

“…With the recent advances in diagnostic imaging techniques, there have been many studies on the diagnostic ability of magnetic resonance cholangiopancreatography (MRCP) in children with PBM. In these studies, MRCP was compared with ERCP or direct cholangiography such as intraoperative cholangiography [4]. The diagnostic rate of MRCP varied markedly (40%-80%) among the studies [5] and remains inadequate.…”

Lithiase biliaire du nourrisson, de l’enfant et de l’adolescent

“…La cholangiographie par résonance magnétique est l'examen à réaliser en première intention et permet d'éliminer l'existence d'une anomalie de jonction biliopancréatique dans la majorité des cas ( figure 2). Cependant, chez le nourrisson et le jeune enfant, l'obtention d'images de bonne qualité nécessite le plus souvent une anesthésie générale [23]. La cholangiographie rétrograde endoscopique est plus rarement réalisée et nécessite chez le nourrisson un matériel spécifique non encore disponible dans la plupart des centres [24].…”