Computed tomography and magnetic resonance cholangiopancreatography in the assessment of acute pancreatitis
BACKGROUND Acute pancreatitis (AP) is a disease associated with sudden onset of abdominal and back pain in a band-like pattern, nausea, and vomiting. In patients with AP, the gold standard, i.e., the initial imaging modality to be used is ultrasonography (US). However, in cases where evaluation is i...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Faculty of Medicine Trisakti University
2020-06-01
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| Series: | Universa Medicina |
| Subjects: | |
| Online Access: | https://univmed.org/ejurnal/index.php/medicina/article/view/986 |
| _version_ | 1818646550043164672 |
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| author | Mustafa Korkut Cihan Bedel Kursat Erman Alpaslan Yavuz Sinan Ulgen Ali Avci |
| author_facet | Mustafa Korkut Cihan Bedel Kursat Erman Alpaslan Yavuz Sinan Ulgen Ali Avci |
| author_sort | Mustafa Korkut |
| collection | DOAJ |
| description | BACKGROUND
Acute pancreatitis (AP) is a disease associated with sudden onset of abdominal and back pain in a band-like pattern, nausea, and vomiting. In patients with AP, the gold standard, i.e., the initial imaging modality to be used is ultrasonography (US). However, in cases where evaluation is insufficient, computed tomography (CT) and magnetic resonance cholangiopancreatography (MRCP) are other modalities to be applied. In this study, we aimed to demonstrate the diagnostic accuracy of CT and MRCP in patients with acute pancreatitis.
METHODS
Seventy-five patients diagnosed with acute pancreatitis were evaluated using CT and, as well as patients who underwent contrast-enhanced MRCP within 48 hours. CT and MRCP were examined in terms of the biliary tract and pancreatic duct structure, gallbladder, common bile duct stones and complications. Chi-square test and the Mann-Whitney U test were used to analyze the data at significance level of p<0.05.
RESULTS
Of all the included patients, 44 were male (58.7%), and the mean age was 59.27 ± 17.37 years. In CT findings, the percentage of AP complication findings such as pancreatic necrosis, extrapancreatic complications, the pancreatic or peripancreatic fluid collection was significantly higher than the MRCP group (p<0.05). MRCP showed biliary tract findings such as cholelithiasis, gallstone, common bile duct dilatation, intrahepatic bile duct dilatation, choledochal stone and pancreatic duct dilatation at a higher percentage than CT.
CONCLUSION
MRCP was superior to CT in gallbladder and choledochal stone and biliary tract dilatation but not in AP complications. Therefore, non-invasive and radiation-free MRCP can be used more widely in AP patients, especially in emergency departments. |
| first_indexed | 2024-12-17T00:48:25Z |
| format | Article |
| id | doaj.art-a4be444550344f35908e8457c639b6eb |
| institution | Directory Open Access Journal |
| issn | 1907-3062 2407-2230 |
| language | English |
| last_indexed | 2024-12-17T00:48:25Z |
| publishDate | 2020-06-01 |
| publisher | Faculty of Medicine Trisakti University |
| record_format | Article |
| series | Universa Medicina |
| spelling | doaj.art-a4be444550344f35908e8457c639b6eb2022-12-21T22:09:50ZengFaculty of Medicine Trisakti UniversityUniversa Medicina1907-30622407-22302020-06-0139210.18051/UnivMed.2020.v39.81-87404Computed tomography and magnetic resonance cholangiopancreatography in the assessment of acute pancreatitisMustafa Korkut0Cihan Bedel1Kursat Erman2Alpaslan Yavuz3Sinan Ulgen4Ali Avci5Health Science University, Antalya Training and Research Hospital, Department of Emergency Medicine, Antalya, TurkeyHealth Science University, Antalya Training and Research Hospital, Department of Emergency Medicine, Antalya, TurkeyDepartment of Radiology, Burdur State Hospital, Antalya, TurkeyDepartment of Radiology, Health Science University, Antalya Training and Research Hospital, Antalya, TurkeyDepartment of Radiology, Health Science University, Antalya Training and Research Hospital, AntalyaDepartment of Emergency Medicine, Karaman State Hospital, KaramanBACKGROUND Acute pancreatitis (AP) is a disease associated with sudden onset of abdominal and back pain in a band-like pattern, nausea, and vomiting. In patients with AP, the gold standard, i.e., the initial imaging modality to be used is ultrasonography (US). However, in cases where evaluation is insufficient, computed tomography (CT) and magnetic resonance cholangiopancreatography (MRCP) are other modalities to be applied. In this study, we aimed to demonstrate the diagnostic accuracy of CT and MRCP in patients with acute pancreatitis. METHODS Seventy-five patients diagnosed with acute pancreatitis were evaluated using CT and, as well as patients who underwent contrast-enhanced MRCP within 48 hours. CT and MRCP were examined in terms of the biliary tract and pancreatic duct structure, gallbladder, common bile duct stones and complications. Chi-square test and the Mann-Whitney U test were used to analyze the data at significance level of p<0.05. RESULTS Of all the included patients, 44 were male (58.7%), and the mean age was 59.27 ± 17.37 years. In CT findings, the percentage of AP complication findings such as pancreatic necrosis, extrapancreatic complications, the pancreatic or peripancreatic fluid collection was significantly higher than the MRCP group (p<0.05). MRCP showed biliary tract findings such as cholelithiasis, gallstone, common bile duct dilatation, intrahepatic bile duct dilatation, choledochal stone and pancreatic duct dilatation at a higher percentage than CT. CONCLUSION MRCP was superior to CT in gallbladder and choledochal stone and biliary tract dilatation but not in AP complications. Therefore, non-invasive and radiation-free MRCP can be used more widely in AP patients, especially in emergency departments.https://univmed.org/ejurnal/index.php/medicina/article/view/986Acute pancreatitiscomputed tomographymagnetic resonance cholangiopancreatography |
| spellingShingle | Mustafa Korkut Cihan Bedel Kursat Erman Alpaslan Yavuz Sinan Ulgen Ali Avci Computed tomography and magnetic resonance cholangiopancreatography in the assessment of acute pancreatitis Universa Medicina Acute pancreatitis computed tomography magnetic resonance cholangiopancreatography |
| title | Computed tomography and magnetic resonance cholangiopancreatography in the assessment of acute pancreatitis |
| title_full | Computed tomography and magnetic resonance cholangiopancreatography in the assessment of acute pancreatitis |
| title_fullStr | Computed tomography and magnetic resonance cholangiopancreatography in the assessment of acute pancreatitis |
| title_full_unstemmed | Computed tomography and magnetic resonance cholangiopancreatography in the assessment of acute pancreatitis |
| title_short | Computed tomography and magnetic resonance cholangiopancreatography in the assessment of acute pancreatitis |
| title_sort | computed tomography and magnetic resonance cholangiopancreatography in the assessment of acute pancreatitis |
| topic | Acute pancreatitis computed tomography magnetic resonance cholangiopancreatography |
| url | https://univmed.org/ejurnal/index.php/medicina/article/view/986 |
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