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2019, Number 4

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Acta Med 2019; 17 (4)

Diagnosis of bile duct obstruction by magnetic cholangiorresonance

Sánchez SMC, Gómez PMG
Full text How to cite this article

Language: Spanish
References: 8
Page: 340-344
PDF size: 152.59 Kb.


Key words:

Obstruction of the bile duct, cholangioresonance.

ABSTRACT

Objectives: Determine the main causes of obstruction of the bile duct. Know the intra and extra luminal causes. Determine the number of patients. Know the most frequent age groups by pathology. Design: Retrospective, descriptive study of magnetic resonance cholangiography studies with findings of occlusion and alterations in the caliber of the bile duct. Material and methods: Review of cholangioresonance studies with biliary tract obstruction data in the period of January 2015 to June 2018. Results: Of 163 colangioresonances, 50 (30.6%) presented obstruction data. Of the total, 58% women and 42% men. The main causes were benign (88%). The main age group with benign pathology was 61 to 80 years. There were six patients with malignant pathology data (12%). And the age group with the most patients associated with malignancy was 41 to 60 years. Conclusions: Cholangioresonance is the method of choice for the evaluation of obstructive pathology of the bile duct in comparison with other modalities, such as ultrasound and tomography, since the bile duct can be adequately delimited. In the present study, benign pathology was the main cause. This work contributes to a better diagnostic evaluation, avoiding false positives. If necessary, the use of contrast media provides more information.


REFERENCES

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  2. Gohil Y M, Patel S B, Goswami K G, Shah S, Soni H. Ultrasonography in obstructive jaundice - a pictorial essay. Indian J Radiol Imaging. 2006; 16 (4): 477-481.

  3. O’Connor OJ, O’Neill S, Maher MM. Imaging of biliary tract disease. AJR Am J Roentgenol. 2011; 197 (4): W551-W558.

  4. Adedin N, Shahriar A, Ahmed A, Mohiuddin AS, Sultana J, Ghafoor N et al. Comparison of ultrasonography and computer tomography to evaluate the causes of biliary obstruction. Euroasian J Hepato-Gastroenterol. 2012; 2 (2): 98-103.

  5. Thomas S, Jahangir K. Noninvasive imaging of the biliary system relevant to percutaneous interventions. Semin Intervent Radiol. 2016; 33 (4): 277-282.

  6. Yeh BM, Liu PS, Soto JA, Corvera CA, Hussain HK. MR imaging and CT of the biliary tract. Radiographics. 2009; 29 (6): 1669-1688.

  7. Maccioni F, Martinelli M, Al Ansari N, Kagarmanova A, De Marco V, Zippi M et al. Magnetic resonance cholangiography: past, present and future: a review. Eur Rev Med Pharmacol Sci. 2010; 14 (8): 721-725.

  8. Rodríguez-Asiain M, Gómez-Pérez MG, Sánchez-Cortazar J, Téliz-Meneses MA, Angulo-Suárez M, Vicente-Andrews Y. Colangiopancreatografía por resonancia magnética. Acta Med. 2006; 4 (1): 33-41.




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Acta Med. 2019;17