Prospective Comparative Study of Mrcp and Ercp in Biliary and Pancreatic Duct Abnormalities

(Abdul Aziz Abdul Latif consort, Mona Hassan Ismail, Abdul Mohsen Abdullah Al-Melhem,)

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Abstract

Magnetic resonance cholangiopancreatography (MRCP) is a non-invasive diagnostic modality capable to produce high-quality images of the biliary and pancreatic disorders. Aims: To assess the diagnostic accuracy of MRCP and endoscopic retrograde cholangiopancreatography (ERCP) for the evaluation of biliary and pancreatic diseases. Methods: Forty-two patients with suspected diseases of the biliary and pancreatic diseases were enrolled in this study. The results of MRCP were evaluated blindly by two radiologists. The study was conducted in King Fahad University Hospital in the period between January and December 2004. Results: MRCP detected more gallbladder stones, combined gallbladder and total stones than ERCP and lower cases of common bile duct (CBD) stones. Both procedures were sensitive. Data were analyzed using SPSS Version 15. Conclusion: MRCP was more sensitive in diagnosing gallbladder stones and visualization of the gallbladder and the pancreatic ducts, while ERCP was more accurate in diagnosing CBD - stones; however, both procedures were generally sensitive and showed almost similar results. Key Words: Biliopancreatic diseases; Magnetic resonance cholangiopancreatography; Endoscopic retrograde cholangiopancreatography.
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