Diagnostic role of secretin-enhanced MRCP in patients with unsuccessful ERCP

World Journal of Gastroenterology : WJG
László CzakóJános Lonovics

Abstract

To evaluate the value of MR cholangiopancreatography (MRCP) in patients in whom endoscopic retrograde cholangiopancreatography (ERCP) was unsuccessfully performed by experts in a tertiary center. From January 2000 to June 2003, 22 patients fulfilled the inclusion criteria. The indications for ERCP were obstructive jaundice (n = 9), abnormal liver enzymes (n = 8), suspected chronic pancreatitis (n = 2), recurrent acute pancreatitis (n = 2), or suspected pancreatic cancer (n = 1). The reasons for the ERCP failure were the postsurgical anatomy (n = 7), duodenal stenosis (n = 3), duodenal diverticulum (n = 2), and technical failure (n = 10). MRCP images were evaluated before and 5 and 10 min after i.v. administration of 0.5 IU/kg secretin. The MRCP images were diagnosed in all 21 patients. Five patients gave normal MR findings and required no further intervention. MRCP revealed abnormalities (primary sclerosing cholangitis, chronic pancreatitis, cholangitis, cholecystolithiasis or common bile duct dilation) in 10 patients, who were followed up clinically. Four patients subsequently underwent laparotomy (hepaticojejunostomy in consequence of common bile duct stenosis caused by unresectable pancreatic cancer; hepaticotomy+Kehr draina...Continue Reading

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Citations

Jan 30, 2010·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·Patricia ZuccaroDarwin L Conwell
Jan 22, 2008·Best Practice & Research. Clinical Gastroenterology·Andre L MihaljevicHans G Beger
Oct 13, 2009·Journal of Computer Assisted Tomography·Tiago Arruda SanchezDráulio Barros de Araujo
Apr 17, 2020·Abdominal Radiology·Jens Brøndum FrøkjærJordan Swensson
Aug 12, 2005·Current Opinion in Gastroenterology·Matthew J DiMagno, Eugene P DiMagno
Dec 7, 2018·Romanian Journal of Internal Medicine = Revue Roumaine De Médecine Interne·Serghei Covantev
Dec 16, 2006·Radiología·C AyusoC de Juan

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