MRCP Vs ERCP in Evaluation of Obstructive Jaundice
Journal Title: Journal of Medical Science And clinical Research - Year 2016, Vol 4, Issue 10
Abstract
Background & Objective: Patients with obstructive jaundice constitute significant proportion of patients presenting with jaundice at our hospital. In present study it is proposed to investigate primarily the diagnostic accuracy of MRCP and ERCP in defining etiology, level of obstruction in obstructive jaundice. Methods: A prospective study conducted on 25 adult patients excluding paediatric population. A total of 17 male, 8 female subjects were evaluated in mean age group of 22 to 79 years. MRCP followed by ERCP was done in all patients. Results: The study group was defined into 3 groups: Stone – group I, Neoplastic – Group II, Non- neoplasticGroup-III. MRCP and ERCP had a success rate of 100% & 83% respectively to identify calculi in group-I, 100% & 73% respectively to identify neoplastic disease process in group-II 100%& 75% respectively for identifying non–neoplastic cause in group-III. Conclusion: Diagnostic accuracy of MRCP and ERCP are comparable while MRCP scores over ERCP in failed ERCP cases..MRCP has 100% sensitivty and 100% specificity in stone disease and can be used as noninvasive alternative to ERCP. ERCP has more therapeutic value compared to MRCP
Authors and Affiliations
Dr Anil Kumar
A Study of Causes of Donor Deferral at Tertiary Care Hospital- Bhavnagar, Gujarat
Donors are deferred for several reasons which are related to the safety of the donor as well as the potential threat to the recipient. The present study enlightens various causes of donor deferral which ultimately result...
A Study to Determine the Clinical Efficacy of Spinal Facet Joint Intervention with Medial Branch Block in Patients of Chronic Low Back Pain with Radiation Associated with Facet Arthropathy
Facetogenic back pain results from involvement of spinal zygapophyseal or facet joints. The common symptoms are diffuse back pain, localized tenderness at facet joints, reduced functionality. Lumbar radiculopathy due to...
Clinical Profile and Outcome of Caesarean Scar Pregnancy in a Tertiary Care Center - A One Year Study
Caesarean scar ectopic is a rare but significant variant of ectopic pregnancy where the implantation is in the cesarean scar. Objective: To study the clinical profile and outcome of cesarean scar pregnancy during the yea...
Fetal Triploidy Syndrome – A Case Report
The fetal triploidy syndrome presentations include intrauterine growth retardation, hydrocephalus, oligohydramnios, and cystic changes of the placenta. Although the majority of triploid conceptions abort spontaneously in...
Clinical Outcomes of Acute Coronary Syndrome: In-Hospital Study in Rural Bengal
Background: Coronary artery disease is the leading cause of morbidity and mortality globally. Total thirty one million people are affected by the disease in India. Changing lifestyle, increasing prevalence of diabete , g...