Comparative Study between ERCP and MRCP in Diagnosing Obstructive Jaundice
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2015, Vol 3, Issue 6
Abstract
Jaundice (icterus) describes the yellow discoloration of the skin and mucous membranes, and other tissues by excess bilirubin, which is the degradation product of hemoglobin. The main objective is to hold comparison between MRCP and ERCP in patients with obstructive jaundice. Prospective and descriptive study deal with comparative study between Endoscopic Retrograde Cholangio pancreato graphy and Magnetic resonance cholangio pancreatography in diagnoses of obstructive jaundice among Sudanese population. In results The data was collected, classified, analyzed by using Statistical package for social science the analysis of the result found that the female patients were (56.7% ) VS (43.3%) males, most of the patients affected age group in the over 5th decade (50%), most of the patients were employee (40%), most of the patients were married (93.3%), most of the patients were from center of Sudan (73.3%),and the patients with clinical diagnosis of obstructive jaundice were (76.7%). ERCP of the samples showed that (56.7%) of the patients had CBD stone but MRCP showed (60%). ERCP of sample showed that (16.7%) of patients had stricture and (16.7%) carcinoma head of pancreas but MRCP showed (20%) of the patients with stricture and (20%) carcinoma head of pancreas. Data analysis performed by using Statistical package for social science (SPSS). The conclusion was MRCP procedure is easy, comfortable, non-invasive procedure and there is no radiation hazard. While ERCP procedure is invasive, performed in the painful risky considerable conditions and there is radiation hazard. The recommendation was MRCP Examination should do before ERCP examinations to have an accurate diagnosis and to avoid missed diagnose, patient’s preparations must take place as first step for MRCP and ERCP examination. Keywords: Jaundice, ERCP, MRCP.
Authors and Affiliations
Ahmed. Abd Elrahim, Ala. M. Abd Elgyoum, H. Osman, A. Elzaki, E. Abd Elrahim, Ali Hassan, Hamad Alneel El rayah, Maram Khalid, Mohammed . , Mubarak Abdullah, Saddam Hassan
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