Abnormal Anatomic Variation of Pancreaticobiliary Union in Magnetic Resonance Cholangiopancreatography Department of Radiology and Imaging in a Tertiary Care Centre: A Descriptive Cross-sectional Study
Introduction: The knowledge of the variations of the abnormal anatomy of pancreaticobiliary union is of great importance for understanding various pathologies of the biliary tract, gall bladder, and pancreas as well as to avoid surgical complications and morbidity which may arise from pancreaticobi...
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Nepal Medical Association
2023-01-01
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Series: | Journal of Nepal Medical Association |
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Online Access: | https://www.jnma.com.np/jnma/index.php/jnma/article/view/7944 |
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author | Sharma Paudel Bidyanand Chaudhary Pradeep Raj Regmi Prakash Kayastha Santosh Maharjan Govinda Adhikari |
author_facet | Sharma Paudel Bidyanand Chaudhary Pradeep Raj Regmi Prakash Kayastha Santosh Maharjan Govinda Adhikari |
author_sort | Sharma Paudel |
collection | DOAJ |
description |
Introduction: The knowledge of the variations of the abnormal anatomy of pancreaticobiliary union is of great importance for understanding various pathologies of the biliary tract, gall bladder, and pancreas as well as to avoid surgical complications and morbidity which may arise from pancreaticobiliary maljunction. Moreover, it helps in the early diagnosis and preventive treatment of pancreaticobiliary disease. The objective of this study was to find out the prevalence of abnormal anatomic variations of the pancreaticobiliary union in magnetic resonance cholangiopancreatography examinations.
Methods: This descriptive cross-sectional study was done in patients referred for Magnetic resonance cholangiopancreatography examinations for various clinical indications from 1 February 2021 to 30 May 2021. Ethical approval was obtained from the Institutional Review Committee [Reference number: 306 (6-11)E 2 077/078]. The variations in the pancreaticobiliary union, length of the common channel, and angle between the common bile duct and major pancreatic duct were obtained from the 1.5T magnetic resonance scanner in 90 patients. The three‑dimensional magnetic resonance cholangiopancreaticography images were visually analyzed and classified into four categories. Convenience sampling method was used. Point estimate and 90% Confidence Interval were calculated.
Results: Out of 90 patients, 73 (81.11%) (74.34-87.88, 90% Confidence Interval) patients had abnormal pancreaticobiliary union with pancreaticobiliary type as the most common occurrence seen in 33 (36.67%) patients.
Conclusions: The prevalence of abnormal anatomic variation of pancreaticobiliary union was found to be higher than other studies done in similar settings.
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first_indexed | 2024-04-10T22:57:08Z |
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id | doaj.art-a7771272712b4deabdb1013122553183 |
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issn | 0028-2715 1815-672X |
language | English |
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publishDate | 2023-01-01 |
publisher | Nepal Medical Association |
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series | Journal of Nepal Medical Association |
spelling | doaj.art-a7771272712b4deabdb10131225531832023-01-14T09:41:00ZengNepal Medical AssociationJournal of Nepal Medical Association0028-27151815-672X2023-01-016125710.31729/jnma.7944Abnormal Anatomic Variation of Pancreaticobiliary Union in Magnetic Resonance Cholangiopancreatography Department of Radiology and Imaging in a Tertiary Care Centre: A Descriptive Cross-sectional StudySharma Paudel0Bidyanand Chaudhary1Pradeep Raj Regmi2Prakash Kayastha3Santosh Maharjan4Govinda Adhikari5Department of Radiology and Imaging, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, NepalDepartment of Radiology and Imaging, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, NepalDepartment of Radiology and Imaging, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, NepalDepartment of Radiology and Imaging, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, NepalGrande International Hospital, Kathmandu, NepalGrande International Hospital, Kathmandu, Nepal Introduction: The knowledge of the variations of the abnormal anatomy of pancreaticobiliary union is of great importance for understanding various pathologies of the biliary tract, gall bladder, and pancreas as well as to avoid surgical complications and morbidity which may arise from pancreaticobiliary maljunction. Moreover, it helps in the early diagnosis and preventive treatment of pancreaticobiliary disease. The objective of this study was to find out the prevalence of abnormal anatomic variations of the pancreaticobiliary union in magnetic resonance cholangiopancreatography examinations. Methods: This descriptive cross-sectional study was done in patients referred for Magnetic resonance cholangiopancreatography examinations for various clinical indications from 1 February 2021 to 30 May 2021. Ethical approval was obtained from the Institutional Review Committee [Reference number: 306 (6-11)E 2 077/078]. The variations in the pancreaticobiliary union, length of the common channel, and angle between the common bile duct and major pancreatic duct were obtained from the 1.5T magnetic resonance scanner in 90 patients. The three‑dimensional magnetic resonance cholangiopancreaticography images were visually analyzed and classified into four categories. Convenience sampling method was used. Point estimate and 90% Confidence Interval were calculated. Results: Out of 90 patients, 73 (81.11%) (74.34-87.88, 90% Confidence Interval) patients had abnormal pancreaticobiliary union with pancreaticobiliary type as the most common occurrence seen in 33 (36.67%) patients. Conclusions: The prevalence of abnormal anatomic variation of pancreaticobiliary union was found to be higher than other studies done in similar settings. https://www.jnma.com.np/jnma/index.php/jnma/article/view/7944common bile duct; main pancreatic duct; magnetic resonance cholangiopancreatography. |
spellingShingle | Sharma Paudel Bidyanand Chaudhary Pradeep Raj Regmi Prakash Kayastha Santosh Maharjan Govinda Adhikari Abnormal Anatomic Variation of Pancreaticobiliary Union in Magnetic Resonance Cholangiopancreatography Department of Radiology and Imaging in a Tertiary Care Centre: A Descriptive Cross-sectional Study Journal of Nepal Medical Association common bile duct; main pancreatic duct; magnetic resonance cholangiopancreatography. |
title | Abnormal Anatomic Variation of Pancreaticobiliary Union in Magnetic Resonance Cholangiopancreatography Department of Radiology and Imaging in a Tertiary Care Centre: A Descriptive Cross-sectional Study |
title_full | Abnormal Anatomic Variation of Pancreaticobiliary Union in Magnetic Resonance Cholangiopancreatography Department of Radiology and Imaging in a Tertiary Care Centre: A Descriptive Cross-sectional Study |
title_fullStr | Abnormal Anatomic Variation of Pancreaticobiliary Union in Magnetic Resonance Cholangiopancreatography Department of Radiology and Imaging in a Tertiary Care Centre: A Descriptive Cross-sectional Study |
title_full_unstemmed | Abnormal Anatomic Variation of Pancreaticobiliary Union in Magnetic Resonance Cholangiopancreatography Department of Radiology and Imaging in a Tertiary Care Centre: A Descriptive Cross-sectional Study |
title_short | Abnormal Anatomic Variation of Pancreaticobiliary Union in Magnetic Resonance Cholangiopancreatography Department of Radiology and Imaging in a Tertiary Care Centre: A Descriptive Cross-sectional Study |
title_sort | abnormal anatomic variation of pancreaticobiliary union in magnetic resonance cholangiopancreatography department of radiology and imaging in a tertiary care centre a descriptive cross sectional study |
topic | common bile duct; main pancreatic duct; magnetic resonance cholangiopancreatography. |
url | https://www.jnma.com.np/jnma/index.php/jnma/article/view/7944 |
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