EVALUATION OF PANCREATOBILIARY PATHOLOGIES USING MAGNETIC RESONANCE CHOLANGIOPANCREATOGRAPHY

Autor: Rajdeep Ramesh Deshmukh, Ajay Vare, Varsha RoteKaginalakr
Rok vydání: 2023
Předmět:
Zdroj: INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH. :47-50
DOI: 10.36106/ijsr/3120579
Popis: Introduction: Pancreato-biliary diseases are commonly observed in the population that can have adverse outcome if not diagnosed or managed correctly and in time. It is divided into intraductal and extraductal obstruction. Biliary strictures, choledocholithiasis, malignant strictures as well as conditions such as primary sclerosing cholangitis constitute the most signicant reasons of intraductal obstruction. Extraductal reasons for obstruction consist of compression of biliary channels by neoplasms, cystic duct stones and pancreatitis. Benign as well as malignant biliary obstructions are not easy to distinguish with only imaging clinical correlation is also important. A total of 70 patients were enrolled Methodology: in the study. MRI was done with 3 Tesla GE machine using body coil. T2-weighted and diffusion-weighted sequences were routinely obtained. Examination was performed after the patient has fasted for minimum 4 hours to promote gall bladder lling. Males were Result And Discussion: slightly more in proportion than females (52.86% vs 47.14%) in study, The commonest clinical feature noted in the study was abdominal pain (55.71%), followed by jaundice (17.14%) and epigastric pain in 10% cases. The common ndings noted were calculus cholecystitis (21.43%), cholelithiasis (18.57%), choledocholithiasis (17.14%), IHBR dilatation (15.71%) and benign stricture in (14.29%). Acute and chronic pancreatitis was noted in 8 cases each (11.43% each). Pseudocyst of pancreas and hepatic cysts or abscess was also noted in 10% and 7.14% cases respectively. Overall, 11% of the cases had neoplastic or malignant nding on MRCP assessment. MRCP was found to be 93 % accurate in Conclusion: identifying the pancreaticobiliary disorders with its underlying cause in present study. The present study shows that MRCP is excellent modality of choice for the detecting of pancreaticobiliary pathologies in the symptomatic patients. Thereby helping in quick diagnosis, treatment planning and better prognosis
Databáze: OpenAIRE