Abstract | INTRODUCTION: The aim of this study was to identify whether magnetic resonance cholangiopancreatography (MRCP) can be used selectively in patients with acute gallstone pancreatitis to detect choledocholithiasis, based on liver function tests (LFTs) and ultrasonography appearance. METHODS: All patients admitted between January 2008 and January 2011 with gallstone pancreatitis ( amylase >300u/l) who underwent MRCP were included in the study. LFTs and radiology reports were obtained from the respective computer systems. RESULTS: CONCLUSIONS: All patients with acute gallstone pancreatitis should undergo specific imaging, preferably MRCP, to exclude choledocholithiasis as LFTs and ultrasonography are inaccurate in predicting common bile duct stones.
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Authors | A D Barlow, J Haqq, D McCormack, M S Metcalfe, A R Dennison, G Garcea |
Journal | Annals of the Royal College of Surgeons of England
(Ann R Coll Surg Engl)
Vol. 95
Issue 7
Pg. 503-6
(Oct 2013)
ISSN: 1478-7083 [Electronic] England |
PMID | 24112497
(Publication Type: Evaluation Study, Journal Article)
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Topics |
- Acute Disease
- Adult
- Aged
- Cholangiopancreatography, Magnetic Resonance
(standards)
- Choledocholithiasis
(diagnosis)
- Female
- Gallstones
(diagnosis)
- Humans
- Male
- Middle Aged
- Pancreatitis
(diagnosis)
- ROC Curve
- Retrospective Studies
- Sensitivity and Specificity
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