2012•Chinese Journal of Current Advances in General SurgeryRequires access
Diagnostic/Therapy value of endoscopic retrograde cholangiopancreatography in obstructive jaundice
Jing Tang
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Abstract
Objective: To evaluate the application of endoscopic retrograde cholangiopancreatography(ERCP)in the diagnosis/therapy of obstructive jaundice.Methods: A total of 75 patients with obstructive jaundice were investigated by endoscopic retrograde cholangiopancreatography(ERCP),and compared with magnetic resonance cholangiopancreatography(MRCP).Results: The diagnostic accuracy of ERCP and MRCP was 84.0%(63/75) and 53.3%(40/75),respectively.The diagnostic accuracy of ERCP in investigating the etiology of obstructive jaundice was significantly higher than that of MRCP(P0.05).The diagnostic accuracy of ERCP and MRCP in the detection of choledocholithiasis-induced obstructive jaundice was 92.1%(35/38) and 78.9%(30/38),respectively,without significant differences between the two examinations(P0.05).But The diagnostic accuracy of ERCP in investigating the etiology of non-choledocholithiasis-induced obstructive jaundice was significantly higher than that of MRCP(P0.05).The diagnostic accuracy of ERCP and MRCP in the detection of non-choledocholithiasis-induced obstructive jaundice was 84.0%(63/75) and 53.3%(40/75),respectively.And There were 10 patients choledocholithiasis-induced obstructive jaundice that were cured by ERCP.Conclusion: MRCP cannot take the place of ERCP as regards identification of biliary obstruction And for some patients with obstructive jaundice has a therapeutic effect.