ROLE OF ERCP IN DIAGNOSIS AND TREATMENT OF OBSTRUCTIVE JAUNDICE PATIENTS
Mohammad Shawkat Mohammad Abdel Haleem;
Abstract
Endoscopic retrograde cholangiopancreatography (ERCP) has become well established as a safe, effective method for the diagnosis and treatment of disorders of the biliary ductal system. Experience has shown several additional applications with regards to the pancreatic ductal system as well.
ERCP was initially designed for imaging of the biliopancreatic ducts. However, therapeutic applications emerged shortly arter its introduction 25 years ago and have become an important part of the indications for ERCP.
ERCP has always been used for both diagnostic and therapeutic purposes, the rationale being to confirm the presence and the etiology of a ductal obstruction visualized by other imaging techniques or suggested by clinical and laboratory data and to treat this obstruction whenever possible.
The avoidance of purely diagnostic ERCP when an obstruction is present has been stressed because the risk of cholangitis is particularly high when drainage is not provided after opacification of an obstructed duct. In addition to the risk of cholangitis, ERCP also has other potential complications, among which the most important is pancreatitis.]
The diagnostic capabilities of ERCP are currently rivaled by magnetic resonance cholangiopancreatography (MRCP), which can visualize the biliary and pancreatic ducts in physiologic conditions as a projectional image that emulates contrast radiography. The accuracy of MRCP and the correlation with ERCP have been demonstrated in a variety of biliary and pancreatic diseases.
ERCP was initially designed for imaging of the biliopancreatic ducts. However, therapeutic applications emerged shortly arter its introduction 25 years ago and have become an important part of the indications for ERCP.
ERCP has always been used for both diagnostic and therapeutic purposes, the rationale being to confirm the presence and the etiology of a ductal obstruction visualized by other imaging techniques or suggested by clinical and laboratory data and to treat this obstruction whenever possible.
The avoidance of purely diagnostic ERCP when an obstruction is present has been stressed because the risk of cholangitis is particularly high when drainage is not provided after opacification of an obstructed duct. In addition to the risk of cholangitis, ERCP also has other potential complications, among which the most important is pancreatitis.]
The diagnostic capabilities of ERCP are currently rivaled by magnetic resonance cholangiopancreatography (MRCP), which can visualize the biliary and pancreatic ducts in physiologic conditions as a projectional image that emulates contrast radiography. The accuracy of MRCP and the correlation with ERCP have been demonstrated in a variety of biliary and pancreatic diseases.
Other data
| Title | ROLE OF ERCP IN DIAGNOSIS AND TREATMENT OF OBSTRUCTIVE JAUNDICE PATIENTS | Other Titles | دور منظار القنوات المرارية فى تشخيص وعلاج مرضي الانسداد اليرقاني | Authors | Mohammad Shawkat Mohammad Abdel Haleem | Issue Date | 2001 |
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