Role of ultrasonography in evaluation of obstructive jaundice

Sharma, Prakash; Lalchan, Subita; Tiwari, Prabhat

doi:10.3126/jcmc.v7i2.23670

Cited by 2 publications

(2 citation statements)

References 3 publications

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“…A study done by Francesco et al 24 reported similar results for benign lesions stating the diagnostic accuracy, sensitivity, and specificity of MRCP to be 78.62%, 16.67%, and 97.29% respectively. Pasanen et al, 25 Sharma and Ahuja, 26 Saluja et al, 27 and Park et al 28 all found similar findings.…”

Section: Discussionmentioning

confidence: 73%

The role of magnetic resonance cholangiopancreatography in evaluation of etiological spectrum of obstructive jaundice

Rahman,

Roy,

Pame

et al. 2023

PJMS

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Jaundice is a commonly encountered problem in society. Discrimination between obstructive and non-obstructive causes is important to imply surgical intervention in cases of obstructive jaundice whereas medical management in non-obstructive jaundice. Nowadays diagnostic endoscopic retrograde cholangiopancreatography (ERCP) may be replaced by Magnetic resonance cholangiopancreatography (MRCP) as it has high level of resolution and reliability. We studied the role of MRCP in obstructive jaundice to evaluate its etiological spectrums and radiological findings. To evaluate the role of MRCP in the determination of aetiologies in obstructive jaundice, to assess degree and level of biliary obstruction and to correlate MRCP findings with post surgical follow-ups / ERCP/ histopathology. Total sixty-eight patients with a clinical diagnosis of obstructive jaundice referred for MRCP were included in our study. We correlated MRCP findings with the final diagnosis made by post-surgical follow-up / ERCP/ histopathology as a gold standard. For benign lesions, overall sensitivity of MRCP was 97.73%, specificity was 95.83% with an accuracy of 97.06%. MRCP had 94.74% sensitivity, 93.88% specificity, 94.12% accuracy in the diagnosis of choledocholithiasis, and 66.67% sensitivity, 98.39% specificity, and 95.59% accuracy in the diagnosis of benign strictures. For malignant lesions, accuracy, sensitivity, and specificity of MRCP were 97.06%, 95.83%, and 97.73%. MRCP is a highly reliable, accurate, non-invasive imaging technique and has a high sensitivity for the evaluation of aetiologies of obstructive jaundice.

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Section: Discussionmentioning

confidence: 73%

The role of magnetic resonance cholangiopancreatography in evaluation of etiological spectrum of obstructive jaundice

Rahman,

Roy,

Pame

et al. 2023

PJMS

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“…Thus a benign lesion was more common. Sharma et al 9 noted 53% of their patients had benign cause for obstructive jaundice and malignancy in 47%. Also Ranjan et al 10 found benign lesions in 90% and malignancy in 10% in 40 patients.…”

Section: Discussionmentioning

confidence: 95%

Ultrasonography and Magnetic Resonance Cholangiopancreatography in Patients with Obstructive Jaundice

Chhettri

Rana

2020

J Coll Med Sci-Nepal

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Background: Jaundice is a common presenting symptom in patients with hepatobiliary disease. It can be categorized into medical and surgical jaundice and it is important to differentiate due to the different treatment options Methods: In this cross sectional study from Jan 2017 to June 2018, 84 consecutive patients with obstructive jaundice who underwent initial USG and then MRCP were included and their respective diagnosis compared keeping surgery and/or histopathology as the gold standard for final diagnosis. Results: Out of 84 patients, 67.9% were females and 32.1% were males. The most common cause for obstructive jaundice was benign in 72.6% and malignancy in 27.4%. Among the benign lesions choledocholithiasis was the most common (57.4%) followed by pancreatitis (26.2%). Cholangiocarcinoma was the most common malignant cause (47.8 %) followed by periampullary carcinoma (26.2%). The sensitivity and specificity of USG in benign lesions was 67.2% and 87% respectively, and in malignancy 56% and 95% respectively. Similarly sensitivity and specificity of MRCP for benign lesions was 95.2% and 90.9% respectively, and for malignancy 95.75% and 98.45%respectively. Overall diagnostic accuracy of USG in benign and malignant causes was 76.62% and 84.52% respectively. Similarly overall diagnostic accuracy of MRCP for benign and malignant causes was 93.98% and 97.6% respectively. Conclusions: USG is a good modality for Initial screening and for differentiating medical and surgical cause of jaundice. MRCP is a better modality with higher sensitivity, specificity and diagnostic accuracy for detecting pathology as compared to USG. Keywords: MRCP; obstructive jaundice; USG.

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Role of ultrasonography in evaluation of obstructive jaundice

Cited by 2 publications

References 3 publications

The role of magnetic resonance cholangiopancreatography in evaluation of etiological spectrum of obstructive jaundice

The role of magnetic resonance cholangiopancreatography in evaluation of etiological spectrum of obstructive jaundice

Ultrasonography and Magnetic Resonance Cholangiopancreatography in Patients with Obstructive Jaundice

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