ArticleCanadian journal of surgery. Journal canadien de chirurgie2010
Selective use of magnetic resonance cholangiopancreatography in clinical practice may miss choledocholithiasis in gallstone pancreatitis.
Article in Canadian journal of surgery. Journal canadien de chirurgie, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.
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Who cites it
12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 30 citations in OpenAlex.
- Diagnostic value of magnetic resonance cholangiopancreatography in choledocholithiasis.World journal of gastroenterology · 2015Pooled it
- Endoscopic ultrasound versus magnetic resonance cholangiopancreatography for common bile duct stones.The Cochrane database of systematic reviews · 2015Pooled it
- ERCP and laparoscopic cholecystectomy in a combined (one-step) procedure: a random comparison to the standard (two-step) procedure.Surgical endoscopy · 2013Trial
- When Enzymes Mislead: Assessing the Value of MRCP in Suspected Choledocholithiasis.ANZ journal of surgery · 2026Article
- Acute Gallstone Pancreatitis: If a Picture Is Worth a Thousand Words, How Many Images Do We Need?Cureus · 2023Article
- Inpatient magnetic resonance cholangiopancreatography: does it increase the efficiency in emergency hepatopancreaticobiliary surgery services?Annals of the Royal College of Surgeons of England · 2017Article
- Safe laparoscopic clearance of the common bile duct in emergently admitted patients with choledocholithiasis and cholangitis.Korean journal of hepato-biliary-pancreatic surgery · 2016Article
- Diagnostic value of magnetic resonance cholangiopancreatography for secondary common bile duct stones compared with laparoscopic trans-cystic common bile duct exploration.Medical science monitor : international medical journal of experimental and clinical research · 2014Article
- The role of magnetic resonance cholangiopancreatography in the management of acute gallstone pancreatitis.Annals of the Royal College of Surgeons of England · 2013Article
- Non-invasive assessment of choledocholithiasis in patients with gallstones and abnormal liver function.World journal of gastroenterology · 2013Article
- Single-stage treatment with intraoperative ERCP: management of patients with possible choledocholithiasis and gallbladder in situ in a non-tertiary Spanish hospital.Surgical endoscopy · 2012Article
- Intraoperative ERCP: What role does it have in the era of laparoscopic cholecystectomy?World journal of gastrointestinal endoscopy · 2011Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundGallstone pancreatitis is a consequence of ampullary obstruction by common bile duct (CBD) calculi. Magnetic resonance cholangiopancreatography (MRCP) has been advocated for routine use to diagnose choledocholithiasis. However, the selective use of MRCP in clinically equivocal situations has not been explored until now. This study examines the diagnostic value of selective MRCP in gallstone pancreatitis.
methodsWe conducted a retrospective audit of all presentations of gallstone pancreatitis between January 2001 and December 2007 at Middlemore Hospital, Auckland, New Zealand. Demographic data, clinical presentation, biochemical and radiological findings and outcomes were reviewed.
resultsThere were 339 cases of gallstone pancreatitis during the study period; 236 patients were women and the mean age was 52 years. Overall, choledocholithiasis was diagnosed in 95 patients. A total of 117 patients underwent MRCP within a median of 4 days of admission, with 15 (13.7%) showing choledocholithiasis. There was no significant difference in time to MRCP between positive and negative groups. Endoscopic retrograde cholangiopancreatography (ERCP)/intraoperative cholangiography (IOC) confirmed 13 of 15 stones within a median of 2.5 days. However, MRCP missed 8 cases of choledocholithiasis subsequently demonstrated on ERCP/IOC, where clinical suspicion remained after a negative MRCP. Its sensitivity was 62% and specificity 98%. The positive likelihood ratio was 6.5 and the negative likelihood ratio was 0.1. In all, 222 patients followed different clinical pathways with 82 CBD stones diagnosed by ERCP/IOC.
conclusionSelective MRCP is highly specific in gallstone pancreatitis but may not be sensitive enough to exclude choledocholithiasis in this context.
Indexed as
Identifiers
21092433PMC2993039W34385356What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.