通常情况下,MRCP 是患者最安全可行的检查手段, 同时对于经验丰富的内镜医生可选择使用 EUS,少 数患者可能需要进行两项检查以确保诊断正确. 4.不建议实施单纯诊断性 ERCP( C1) . 一项 Meta 分析显示,ERCP 诊断胆管结石的敏 感度在 67% ~ 94%,特异度 92% ~ 100%[29] . 但由于 ERCP 具有一定的创伤性和...
Introduction: Magnetic Resonance Cholangiopancreatography (MRCP) is a novel application of MRI which may replace diagnostic ERCP in many cases. The indications for and diagnostic yield of MRCP remain to be elucidated. We performed a comp... PM Andrew,AG Maniatis,PS Jowell,... - 《Gastrointestin...
目前诊断性ERCP主要应用于组织标本的获取与Oddi括约肌运动功能失调的诊断, 其应用领域已部分为磁共振胆胰管造影(MRCP)所取代[5]. 多数学者认为治疗性ERCP急性胰腺炎发生率高于诊断性ERCP[6-7]. 主要与十二指肠乳头括约肌切开术(EST)相关. Cheng et al[8]收集美国中西部15个中心胰胆治疗组1115例ERCP资料, 分析EST...
Magnetic resonance cholangiopancreatography (MRCP): Results related to clinical indications and potential impact on use of ERCPrupture of the spleenacute pancreatitischronic pancreatitissplenectomypancreatectomyBackground: Accessory spleen is a common congenital anomaly. There are currently no endoscopic ...
MRI/MRCP and CT images of a SIT patient with CBDS and decompensated cirrhosis. A. coronal MRI image shows the mirror-image transposition of abdominal and thorax viscera. B. reconstruction image indicates multiple small stones piled inside the middle-distal of CBD, the conference of bile duct an...
Magnetic Resonance Cholangio-pancreatography (MRCP) has emerged as an accurate, noninvasive diagnostic modality for investigating the biliary ducts. ERCP used primarily in diagnosis & therapeutic modality. With sensitivity between 90% to 95% in detecting CBDS.We studied 40 patients with Common bile ...
Moon JH, Cho YD, Cha SW, Cheon YK, Ahn HC, Kim YS, et al. The detection of bile duct stones in suspected biliary pancreatitis: comparison of MRCP, ERCP, and intraductal US. Am J Gastroenterol. 2005;100(5):1051–7. ArticlePubMed ...
Background The evolution of high-resolution non-invasive diagnostic methods like CT and MRCP has diminished the need of Endoscopic Retrograde Cholangio Pancreatography (ERCP) for diagnosis, grading and classification of disease within the pancreato-biliary tract. The introduction of the single operator ...