Diagnostic value of magnetic resonance cholangiopancreatography to detect bile duct stones in acute biliary pancreatitis

This study aims to evaluate the diagnostic value of magnetic resonance cholangiopancreatography (MRCP) in detecting common bile duct (CBD) stones in acute biliary pancreatitis (ABP). The medical records of patients presenting with ABP from January 2008 to July 2013 were reviewed to assess the value...

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Published in:Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.] 2018-01, Vol.18 (1), p.22-28
Main Authors: Lee, Su-Lim, Kim, Hyung-Keun, Choi, Hyun-Ho, Jeon, Bu-Seok, Kim, Tae-Hyung, Choi, Jong-Min, Ku, Young-Mi, Kim, Sang-Woo, Kim, Sung-Soo, Chae, Hiun-Suk
Format: Article
Language:English
Subjects:
Abdomen
Acute biliary pancreatitis (ABP)
Bile
Bile ducts
Common bile duct (CBD) stone
Endoscopy
Gallstones
Magnetic resonance cholangiopancreatography (MRCP)
Medical diagnosis
Medical imaging
Medical records
Pancreatitis
Patients
Ultrasonic imaging
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Summary:This study aims to evaluate the diagnostic value of magnetic resonance cholangiopancreatography (MRCP) in detecting common bile duct (CBD) stones in acute biliary pancreatitis (ABP). The medical records of patients presenting with ABP from January 2008 to July 2013 were reviewed to assess the value of MRCP in detecting CBD stones in ABP. Endoscopic retrograde cholangiopancreatography (ERCP) was used as the reference standard to assess the diagnostic yield of MRCP in detecting choledocholithiasis. When ERCP was unavailable, intraoperative cholangiography or clinical follow-up was used as the reference standard. Seventy-eight patients who underwent MRCP were diagnosed with ABP, and thirty of the 78 patients (38%) were confirmed to have CBD stones per the study protocol. The sensitivity of MRCP in detecting CBD stones in ABP was 93.3% compared to 66.7% for abdominal CT (P 
ISSN:1424-3903
1424-3911
DOI:10.1016/j.pan.2017.12.004