MAGNETIC RESONANCE CHOLANGIOPANCREATOGRAPHY IN CLINICAL PRACTICE. COMPARATIVE EVALUATION OF RADIOLOGY DIAGNOSTIC METHODS AND MRCP INFLUENCE IN INPATIENT SURVEILLANCE

Brodetskiy B.M.¹, Ternovoy S.K.², Dibirov M.D.³, Domarev L.V.¹

1 – S.I. Spasokukotskiy City Clinical Hospital.

2 – I.M. Sechenov First Moscow State Medical University.

3 – A.I. Evdokimov Moscow State University of Medicine and Dentistry.

Moscow, Russia.

 

Purpose. Proof of the hypothesis that increasing growth of diagnostic visualization techniques employed before Magnetic Resonance Cholangiopancreatography (MRCP) in patients with suspected bile duct obstruction leads to extension of inpatient stay in hospital.

Materials and methods. The single-site retrospective study included 185 patients with suspected bile duct obstruction. 166 patients (women/men = 1, 55) with mean age of 63, 0±15,3 were added to a final analysis. This analysis included data about extension of inpatient stay in hospital, total amount of imaging techniques that were employed before MRCP, MRCP time frames and results. Descriptive statistics methods and comparison of endowment period with the help of a Log-rank test were applied for statistical analyses. Statistical significance of the results was pointed at the threshold of p<0,05.

Results. The most common admission causes of patients with suspected bile duct obstruction were pancreatitis (27,7%), choledocholithiasis (21,1%) and malignant neoplasms (11,4%).  On average, MRCP was performed in 6,8±4,0 days from the moment of admission. The significant extension of inpatient stay in hospital was observed in case there was an increasing growth of diagnostic visualization techniques employed before MRCP.

Conclusions. MRCP performance in patients with bile duct obstruction in an early stage of  hospitalization leads to increase in diagnosis accuracy, opportunity for in-time treatment, improving of treatment effects and, as a result, shorten inpatient stay in hospital. Cutting down on diagnostic techniques before MRCP leads to the same results as well.

 

Keywords: magnetic resonance cholangiopancreatography, biliary tract diseases, choledocholithiasis, diagnosis, extension of hospital admission.

Corresponding author: Brodetskiy B.M., Этот e-mail адрес защищен от спам-ботов, для его просмотра у Вас должен быть включен Javascript

For citation: Brodetskiy B.M., Ternovoy S.K., Dibirov M.D., Domarev L.V. Magnetic resonance cholangiopancreatography in clinical practice. Comparative evaluation of radiology diagnostic methods and magnetic resonance cholangiopancreatography influence in inpatients surveillance. REJR. 2016; 6 (1): 48-54. doi: 10.18411/a-2016-005