Magnetic resonance cholangiopancreatography (MRCP) evaluation of post-laparoscopic cholecystectomy biliary complications using breath-held 3D steady state free precession (SSFP) sequence
Purpose: To assess the role of breath-held 3D-SSFP MRCP in evaluation of post-laparoscopic cholecystectomy biliary complications. Patients and methods: This study included 29 patients with post-laparoscopic cholecystectomy symptoms like abdominal pain, vomiting or jaundice during period from March 2...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2016-03-01
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| Series: | The Egyptian Journal of Radiology and Nuclear Medicine |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S0378603X15002120 |
| _version_ | 1828785636810686464 |
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| author | Moustafa A. Kader A. Wahab Enas A. Abdel-Gawad Abdel Fatah Saleh Medhat M. Suliman |
| author_facet | Moustafa A. Kader A. Wahab Enas A. Abdel-Gawad Abdel Fatah Saleh Medhat M. Suliman |
| author_sort | Moustafa A. Kader A. Wahab |
| collection | DOAJ |
| description | Purpose: To assess the role of breath-held 3D-SSFP MRCP in evaluation of post-laparoscopic cholecystectomy biliary complications.
Patients and methods: This study included 29 patients with post-laparoscopic cholecystectomy symptoms like abdominal pain, vomiting or jaundice during period from March 2013 to March 2015. The ages of patients ranged from 28 to 70 years (mean 49 ± 16 year). MRCP was performed for all patients on 1.5 tesla MRI machine with breath-held multi-slice acquisition. Both 2D and 3D MRCP were done.
Results: The encountered post laparoscopic biliary complications were either major injuries like complete bile duct transection in 8 cases and bile duct ligation in 4 cases or minor injuries like partial thermal tear in 4 cases, slipped clips in 2 cases and benign strictures in 5 cases. The retained biliary stones were another complication and located either intrahepatic in 2 cases or extra-hepatic in 4 cases. 13 cases were managed by ERCP with sphincterotomy, dilatation and/or T-tube insertion. Other 13 patients were managed operatively with removal of ligature or hepaticojujenostomy and the remaining 3 patients were managed conservatively.
Conclusion: The use of breath-held 3D-SSFP MRCP is essential in evaluation of post-laparoscopic cholecystectomy biliary complications and in planning for management regimens. |
| first_indexed | 2024-12-11T23:54:48Z |
| format | Article |
| id | doaj.art-8de49373649b45a098ec72d5ad02e386 |
| institution | Directory Open Access Journal |
| issn | 0378-603X |
| language | English |
| last_indexed | 2024-12-11T23:54:48Z |
| publishDate | 2016-03-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Egyptian Journal of Radiology and Nuclear Medicine |
| spelling | doaj.art-8de49373649b45a098ec72d5ad02e3862022-12-22T00:45:22ZengSpringerOpenThe Egyptian Journal of Radiology and Nuclear Medicine0378-603X2016-03-0147120721610.1016/j.ejrnm.2015.10.001Magnetic resonance cholangiopancreatography (MRCP) evaluation of post-laparoscopic cholecystectomy biliary complications using breath-held 3D steady state free precession (SSFP) sequenceMoustafa A. Kader A. Wahab0Enas A. Abdel-Gawad1Abdel Fatah Saleh2Medhat M. Suliman3Radiodiagnosis Department, Faculty of Medicine, El-Minia University, El Minia, EgyptRadiodiagnosis Department, Faculty of Medicine, El-Minia University, El Minia, EgyptGeneral Surgery Department, Faculty of Medicine, El-Minia University, El Minia, EgyptOncology Surgery Department, El-Minia Oncology Center, EgyptPurpose: To assess the role of breath-held 3D-SSFP MRCP in evaluation of post-laparoscopic cholecystectomy biliary complications. Patients and methods: This study included 29 patients with post-laparoscopic cholecystectomy symptoms like abdominal pain, vomiting or jaundice during period from March 2013 to March 2015. The ages of patients ranged from 28 to 70 years (mean 49 ± 16 year). MRCP was performed for all patients on 1.5 tesla MRI machine with breath-held multi-slice acquisition. Both 2D and 3D MRCP were done. Results: The encountered post laparoscopic biliary complications were either major injuries like complete bile duct transection in 8 cases and bile duct ligation in 4 cases or minor injuries like partial thermal tear in 4 cases, slipped clips in 2 cases and benign strictures in 5 cases. The retained biliary stones were another complication and located either intrahepatic in 2 cases or extra-hepatic in 4 cases. 13 cases were managed by ERCP with sphincterotomy, dilatation and/or T-tube insertion. Other 13 patients were managed operatively with removal of ligature or hepaticojujenostomy and the remaining 3 patients were managed conservatively. Conclusion: The use of breath-held 3D-SSFP MRCP is essential in evaluation of post-laparoscopic cholecystectomy biliary complications and in planning for management regimens.http://www.sciencedirect.com/science/article/pii/S0378603X15002120MRCPBiliaryBreath-held 3D-SSFP |
| spellingShingle | Moustafa A. Kader A. Wahab Enas A. Abdel-Gawad Abdel Fatah Saleh Medhat M. Suliman Magnetic resonance cholangiopancreatography (MRCP) evaluation of post-laparoscopic cholecystectomy biliary complications using breath-held 3D steady state free precession (SSFP) sequence The Egyptian Journal of Radiology and Nuclear Medicine MRCP Biliary Breath-held 3D-SSFP |
| title | Magnetic resonance cholangiopancreatography (MRCP) evaluation of post-laparoscopic cholecystectomy biliary complications using breath-held 3D steady state free precession (SSFP) sequence |
| title_full | Magnetic resonance cholangiopancreatography (MRCP) evaluation of post-laparoscopic cholecystectomy biliary complications using breath-held 3D steady state free precession (SSFP) sequence |
| title_fullStr | Magnetic resonance cholangiopancreatography (MRCP) evaluation of post-laparoscopic cholecystectomy biliary complications using breath-held 3D steady state free precession (SSFP) sequence |
| title_full_unstemmed | Magnetic resonance cholangiopancreatography (MRCP) evaluation of post-laparoscopic cholecystectomy biliary complications using breath-held 3D steady state free precession (SSFP) sequence |
| title_short | Magnetic resonance cholangiopancreatography (MRCP) evaluation of post-laparoscopic cholecystectomy biliary complications using breath-held 3D steady state free precession (SSFP) sequence |
| title_sort | magnetic resonance cholangiopancreatography mrcp evaluation of post laparoscopic cholecystectomy biliary complications using breath held 3d steady state free precession ssfp sequence |
| topic | MRCP Biliary Breath-held 3D-SSFP |
| url | http://www.sciencedirect.com/science/article/pii/S0378603X15002120 |
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