Diagnostic value of MRCP, EUS and ERCP in the diagnosis of obstructive jaundice
- VernacularTitle:磁共振胰胆管造影、超声内镜与逆行胰胆管造影诊断阻塞性黄疸的价值
- Author:
Wenjie ZHANG
;
Meiyue CHEN
;
Xuefeng WANG
- Publication Type:Journal Article
- Keywords:
Magnetic resonance cholangiopancreatography;
Endoscopic ultrasonography;
Endoscopic retrograde cholangiopancreatography;
Obstructive jaundice
- From:
Chinese Journal of Digestion
2001;0(08):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the diagnostic value of magnetic resonance cholangio pancreatography (MRCP), endoscopic ultrasonography (EUS) and endoscopic retrograde cholangio pancreatography (ERCP) in obstructive jaundice. Methods MRCP, EUS and ERCP were performed in 39 patients with obstructive jaundice. MRCP was performed by the technique of T2 weighted fast spin echo fluid imaging. EUS and ERCP were performed with conventional method. Results The over all concordance rates of MRCP, EUS and ERCP were 87.2%(34/19), 94.9%(37/39) and 97.4(38/39), respectively. In malignant common duct stricture the concordance rates of MRCP, EUS and ERCP were 61.5%(8/13), 84.6%(11/13) and 92.3%(12/13), respectively. In choledocholithiasis the concordance rates of MRCP, EUS and ERCP were 100.0%(21/21). Conclusion The non invasive examination, MRCP can be the first choice as a diagnostic method for obstructive jaundice, but it can not replace ERCP currently. As an important approach to diagnose the cholangiopancreatic disease, EUS combine with MRCP and ERCP, can improve the diagnostic accuracy in obstructive jaundice.
