Abstract | BACKGROUND AND AIMS: To evaluate the value of S-MRCP in patients in whom ERCP performed by experts in a tertiary center were unsuccessful. PATIENTS AND METHODS: 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 pancreatitis (n = 2) or suspected pancreatic cancer (n = 1). The reasons for the ERCP failure were postsurgical anatomy (n = 7), duodenum stenosis (n = 3), duodenal diverticulum (n = 2), or technical failure (n = 10). MRCP images were evaluated before and 5 and 10 min after the i.v. administration of 0.5 IU/kg secretin. RESULTS: CONCLUSION: S-MRCP is the method of choice in cases where ERCP is not possible.
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Authors | László Czakó, Tamás Takács, Zita Morvay, László Csernay, János Lonovics |
Journal | Orvosi hetilap
(Orv Hetil)
Vol. 145
Issue 10
Pg. 529-34
(Mar 07 2004)
ISSN: 0030-6002 [Print] Hungary |
Vernacular Title | A szekretinnel érzékenyített mágneses rezonanciás cholangiopancreatographia (S-MRCP) diagnosztikus értéke sikertelen endoszkópos retrográd cholangiopancreatographia (ERCP) esetén. |
PMID | 15085592
(Publication Type: Evaluation Study, Journal Article)
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Chemical References |
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Topics |
- Adult
- Aged
- Biliary Tract Diseases
(diagnosis, diagnostic imaging, surgery)
- Cholangiography
(methods)
- Cholangiopancreatography, Endoscopic Retrograde
- Diagnosis, Differential
- Female
- Humans
- Jaundice, Obstructive
(diagnosis)
- Magnetic Resonance Imaging
(methods)
- Male
- Middle Aged
- Pancreatic Diseases
(diagnosis, diagnostic imaging, surgery)
- Pancreatic Neoplasms
(diagnosis)
- Pancreatitis
(diagnosis)
- Predictive Value of Tests
- Secretin
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