Evaluation of magnetic resonance cholangiography in patients with suspected common bile duct stones before laparoscopic cholecystectomy

Ke, Zhong-Wei; Zheng, Cheng-zhu; Li, Jihui; Yin, Kai; Chen, Danlei; Hu, Ming-Gen; Hua, Ji-De

doi:10.11569/wcjd.v12.i9.2143

Cited by 7 publications

(6 citation statements)

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“…Nowadays, the invasive ERC as a diagnostic tool is more often replaced by the noninvasive, highly specific MRI cholangiography. As MRI is implemented in the diagnostic algorithm of choledocholithiasis, the rate of negative ERC will be reduced, limiting ERC to therapeutic use [3,6,10,14]. It is well known from other authors [2,19] that ERC has an adverse effect on the conversion rate (8-55%) of the laparoscopic procedure.…”

Section: Discussionmentioning

confidence: 99%

Conversion rate of laparoscopic cholecystectomy after endoscopic retrograde cholangiography in the treatment of choledocholithiasis: Does the time interval matter?

et al. 2005

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Eighty-three patients were studied (group 1, n = 23; group 2, n = 15; group 3, n = 45). Adhesions, operation time, and bile duct damage did not significantly differ between the groups. The conversion rate in group 2 is significantly higher compared to group 1 (p = 0.027, OR 11 (1.13-106.8)) CONCLUSIONS: A higher conversion rate of LC is found 2-6 weeks after ERC compared to LC within 2 weeks. However, further research is needed to gain more reliable data on whether this is caused by timing.

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Section: Discussionmentioning

confidence: 99%

Conversion rate of laparoscopic cholecystectomy after endoscopic retrograde cholangiography in the treatment of choledocholithiasis: Does the time interval matter?

et al. 2005

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“…Previous reports have demonstrated equal accuracy of MRCP in detecting CBD stones compared with ERCP or IVC. MRC is currently recommended as diagnostic tool for CBD stones [5][6][7][8][9][10][11][12].…”

Section: Introductionmentioning

confidence: 99%

Is routine MR cholangiopancreatography (MRCP) justified prior to cholecystectomy?

Nebiker

Baierlein

Beck

et al. 2008

Langenbecks Arch Surg

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“…In a similar study by Ke ZW et al, (2003), in evaluating the predictive value of MRCP in 267 patients before laparoscopic cholecystectomy (LC), MRCP had a sensitivity of 100%, a specificity of 96.3%, a positive predictive value of 91.8%, and a negative predictive value of 100% for the detection of common bile duct stones [18].…”

Section: Resultsmentioning

confidence: 99%

Magnetic Resonance Cholangiopancreatography (MRCP) in the Evaluation of Pancreaticobiliary Tract in Gallstone Disease

Singh¹

2016

IJARS

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Introduction: MRCP (Magnetic Resonance Cholangio pancreatography) has rapidly gained ground and has now firmly established in the evaluation of the biliary and pancreatic ducts. It often aids in the assessment of causes of biliary obstruction and can be helpful in the evaluation of the pancreatic duct without the inherent invasiveness of an endoscopic procedure.In view of limitation of USG and CT and invasiveness of PTC, IVC and ERCP there is need for an imaging modality which is non invasive and provides high resolution projection images of the biliary and pancreatic duct. Aim:The aim of this study was to prospectively assess the accuracy of MR imaging and correlate it with ultrasonography. Materials and Methods:This study included 50 patients who had undergone MRCP prior to cholecystectomy for symptomatic gallstones. There were 23 males and 27 female patients, ranging in age from 8 to 87 years (mean, 63 years). Results:The predominant population in our study was adults ranging from 30 to 50 yrs of age. Majority of patients presented with epigastic pain and vomiting. The percentage rate of detection of gallstones and CBD stones were 89.75% and 76.19% on USG respectively. The same for MRCP was 87.18% and 95.24% respectively. MRCP showed high positive predictive value in diagnosing choledocholithaisis and diagnosing hepatobiliary lesions. Conclusion:MRCP now readily permits the study and evaluation of anatomy and pathology of the pancreaticobiliary tree including pancreatic duct very easily and is accurate, noninvasive and nonionizing imaging method of pancreaticobiliary anatomy and pathology. Our results demonstrate that preoperative MRCP had a robust safe guarding effect on laparoscopic cholecystectomy and deserves further promotion. These results were also sited in other recent studies.Radiology Section

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Evaluation of magnetic resonance cholangiography in patients with suspected common bile duct stones before laparoscopic cholecystectomy

Cited by 7 publications

References 0 publications

Conversion rate of laparoscopic cholecystectomy after endoscopic retrograde cholangiography in the treatment of choledocholithiasis: Does the time interval matter?

Conversion rate of laparoscopic cholecystectomy after endoscopic retrograde cholangiography in the treatment of choledocholithiasis: Does the time interval matter?

Is routine MR cholangiopancreatography (MRCP) justified prior to cholecystectomy?

Magnetic Resonance Cholangiopancreatography (MRCP) in the Evaluation of Pancreaticobiliary Tract in Gallstone Disease

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