Value of magnetic-resonance cholangio-pancreatography (MRCP) after unsuccessful endoscopic-retrograde cholangio-pancreatography (ERCP)

Endoscopy
H E AdamekJ F Riemann

Abstract

The present study tries to evaluate the success rate of MRCP when two attempts by experts to perform ERCP in a center failed. From March 1996 to December 1996 thirteen patients fulfilled the inclusion criteria. The MR cholangiopancreatograms were acquired using commercially available software in a clinical MR scanner (Magnetom Expert 1 T-Scanner, Siemens, Erlangen, Germany). MRCP utilized heavily T2-weighted turbo-spin echo sequences with fat supression (HASTE). Maximum intensity projection (MIP) of the pancreatic duct and biliary tree was then carried out. Additionally, T1-weighted sequences were obtained using the breath-hold technique. The MRCP images were of diagnostic quality in all 13 patients. In five cases the diagnoses detected by MRCP were followed by an interventional procedure. One patient showed a pancreatic pseudocyst, that was percutaneously drained using ultrasound guidance. In three cases we found benign bile duct obstruction, all of which were successfully treated by percutaneous transhepatic drainage. In one patient choledocholithiasis was diagnosed, the stone was successfully managed by percutaneous transhepatic extraction. MRCP is the method of choice in cases where ERCP is incomplete or where duct cannulat...Continue Reading

Citations

Jan 9, 2004·Journal of Perinatal Medicine·Ichiro KawabataTeruhiko Tamaya
Apr 22, 2009·AJR. American Journal of Roentgenology·Nam Sun ParkHyun Seok Lee
Sep 5, 2013·European Journal of Gastroenterology & Hepatology·Ofer BenjaminovRan Tur-Kaspa
Jun 9, 2005·International Journal of Colorectal Disease·Steffen Rickes, Peter Malfertheiner
Nov 19, 2002·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·H E AdamekJ F Riemann
Sep 10, 2003·Journal of Clinical Gastroenterology·Hyun Jun KimSung Koo Lee
Sep 9, 2008·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Vikram A Sahni, Koenraad J Mortele
Sep 18, 2007·European Journal of Radiology·Steffen RickesPeter Malfertheiner
Jun 25, 2002·Best Practice & Research. Clinical Gastroenterology·J G Albert, J F Riemann
Jun 18, 2003·European Journal of Gastroenterology & Hepatology·Nyree GriffinIan J Beckingham
Oct 26, 2005·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·N NugentK Mealy

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