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178617

The Integrative Role of Magnetic Resonance Cholangiopancreatography and Percutaneous Transhepatic Cholangiography in Malignant Obstructive Jaundice

Article

Last updated: 24 Dec 2024

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Abstract

Background: Magnetic resonance cholangiopancreatography (MRCP) andpercutaneous trans-hepatic cholangiography (PTC) are established techniques for the evaluation of intra-hepatic and extra-hepatic bile ducts in patients with malignant hepato-biliary diseases. PTC has procedure-related complications. MRCP is accurate, non-invasive and safe. Objective: To evaluate the role of magnetic resonance cholangiopancreatography (MRCP) and percutaneous transhepatic cholangiography (PTC) in the diagnosis of malignant biliary obstruction. Patients and Methods: This study was conducted on 30 patients (18 males and 12 females) with malignant obstructive jaundice. Their ages ranged between 36 and 85 years with a mean age of 59.9 years. All the 30 examined cases in our study were subjected to MRCP and PTC to detect the diagnosis, the level of obstruction and the degree of obstruction. Results: Both MRCP and PTC were accurate in the detection of the malignant biliary dilatation and the level of obstruction. MRCP provided adequate information in the diagnosis of the malignant lesions with sensitivity of 86.6% with low sensitivity to detect the degree of obstruction weather complete or partial 12.5% compared to PTC. MRCP detected other related malignant features in 40% of cases. PTC-related complications in 6 out of 30 cases (20%). In 6 patients more than one puncture had to be performed during PTC to delineate the whole biliary system. Conclusion: MRCP is accurate and non-invasive procedure for the diagnosis of the malignant obstructive jaundice and the level of biliary obstruction reserving PTC for therapeutic procedures and pre-surgical assessment of the degree of obstruction.  

DOI

10.21608/ejhm.2021.178617

Keywords

Magnetic resonance, Cholangiopancreatography, Percutaneous trans-hepatic, Cholangiography, Malignant obstructive jaundice

Authors

First Name

Hayam Abdelmonsif

Last Name

Abdellatif

MiddleName

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Affiliation

Department of Radiodiagnosis, Faculty of Medicine, Menoufia University, Egypt

Email

hayam_drar@yahoo.com

City

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Orcid

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First Name

Omar A.

Last Name

Hamada

MiddleName

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Affiliation

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Email

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City

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Orcid

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First Name

Mohamed S.

Last Name

Elzawawi

MiddleName

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Affiliation

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Email

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City

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Orcid

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First Name

Mohamed A.

Last Name

Deif

MiddleName

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Affiliation

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Email

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City

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Orcid

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Volume

84

Article Issue

1

Related Issue

25405

Issue Date

2021-07-01

Receive Date

2021-06-19

Publish Date

2021-07-01

Page Start

1,961

Page End

1,971

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_178617.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=178617

Order

51

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

The Integrative Role of Magnetic Resonance Cholangiopancreatography and Percutaneous Transhepatic Cholangiography in Malignant Obstructive Jaundice

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Article

Created At

22 Jan 2023