TY  - JOUR
T1  - Manyetik Rezonans Kolanjiopankreatografi ile Nedeni Açıklanamayan Ana Safra Kanalı Dilatasyonunun Retrospektif  Analizi
TT  - Retrospective analysis of unexplained common bile duct dilatation with magnetic resonance cholangiopancreatography
AU  - Ölçücüoğlu, Esin
AU  - Beşler, Muhammed Said
AU  - Gökhan, Muhammet Batuhan
AU  - Arı, Derya
AU  - Öztürk, Ömer
AU  - Kacar, Sabite
AU  - Akdoğan Kayhan, Meral
AU  - Ökten, Sarper
PY  - 2024
DA  - March
Y2  - 2024
DO  - 10.18663/tjcl.1396832
JF  - Turkish Journal of Clinics and Laboratory
JO  - TJCL
PB  - DNT Ortadoğu Yayıncılık A.Ş.
WT  - DergiPark
SN  - 2149-8296
SP  - 56
EP  - 62
VL  - 15
IS  - 1
LA  - tr
AB  - Amaç:Çalışmamızda Manyetik Rezonans Kolanjiopankreatografi (MRKP) ile  Ana Safra Kanalında (ASK) dilatasyon izlenen, ama nedeni saptanamayan hastaların laboratuvar, görüntüleme ve histolojik  verileri retrospektif olarak incelendi, tanısal algoritma oluşturmak için yol gösterici ipuçları ve bilgiler elde edilmesi amaçlandı.Gereç ve Yöntemler:ASK dilatasyonu nedeniyle MRKP yapılan ancak etiyolojisi kesin olarak belirlenemeyen 137 hastanın demografik verileri, klinik bulguları, laboratuvar sonuçları, MRKP, Endoultrasonografi (EUS) ve Endoskopik retrograd kolanjiopankreatografi (ERKP) bulguları, sitopatolojik sonuçlar ve takip verileri toplandı. MRKP'de aksiyel T2 ağırlıklı görüntülerde tek bir radyolog tarafından ortak hepatik kanaldaki en geniş seviyede ve koledok  proksimalinde ölçümler yapılarak EUS ile karşılaştırıldı.Bulgular: Çalışma popülasyonunun yaş ortalaması 62.1±14.1 yıldı.Hastaların %28,5’i kadındı.MRKP'de ASK'nin ortalama çapı 11,8±3,1 mm iken, EUS'de ortalama çap 10,5±4,0 mm idi ve istatistiksel olarak anlamlı farklık vardı (p
KW  - Ana safra kanalı dilatasyonu
KW  - MRKP
KW  - EUS
KW  - ERKP
KW  - tanısal algoritma
N2  - Aim: In our study, we aimed to obtain guiding clues and information to create a diagnostic algorithm by retrospectively investigating the laboratory, imaging and histological data of patients in whom dilatation in the Common Bile Duct (CBD) was observed with Magnetic Resonance Cholangiopancreatography (MRCP), but whose cause could not be determined.Material and Methods: Demographic data, clinical findings, laboratory results, MRCP findings, Endoultrasonography(EUS) findings, Endoscopic Retrograde Cholangiopancreatography (ERCP) findings, cytopathological results and follow-up data were collected from 137 patients who underwent MRCP due to CBD dilatation but whose etiology could not be determined with certainty. In MRCP, the axial T2-weighted images were measured by a single radiologist at the widest level in the common hepatic duct and proximal to the choledochal duct and compared with EUS.Results: The mean age of the study population was 62.1±14.1 years. Thirty-nine patients (28.5%) were female. The mean diameter of the CBD on MRCP was 11.8±3.1 mm, while the mean diameter on EUS was 10.5±4.0 mm, and a statistically significant difference was detected (p
CR  - Sousa M, Fernandes S, Proença L, et al. Diagnostic yield of endoscopic ultrasonography for dilation of common bile duct of indeterminate cause. Rev Esp Enferm Dig. 2019;111(10):757-9.
CR  - Holm AN, Gerke H. What should be done with a dilated bile duct? Current gastroenterology reports. 2010;12(2):150-6.
CR  - Hekimoglu K, Ustundag Y, Dusak A, et al. MRCP vs ERCP in the evaluation of biliary pathologies: review of current literature. Journal of digestive diseases. 2008;9(3):162-9.
CR  - Godfrey EM, Rushbrook SM, Carrol NR. Endoscopic ultrasound: a review of current diagnostic and therapeutic applications. Postgraduate medical journal. 2010;86(1016):346-53.
CR  - Rana SS, Bhasin DK, Sharma V, Rao C, Gupta R, Singh K. Role of endoscopic ultrasound in evaluation of unexplained common bile duct dilatation on magnetic resonance cholangiopancreatography. Annals of Gastroenterology: Quarterly Publication of the Hellenic Society of Gastroenterology. 2013;26(1):66.
CR  - Oppong KW, Mitra V, Scott J, et al. Endoscopic ultrasound in patients with normal liver blood tests and unexplained dilatation of common bile duct and or pancreatic duct. Scandinavian journal of gastroenterology. 2014;49(4):473-80.
CR  - De Angelis C, Marietti M, Bruno M, Pellicano R, Rizzetto M. Endoscopic ultrasound in common bile duct dilatation with normal liver enzymes. World journal of gastrointestinal endoscopy. 2015;7(8):799.
CR  - Lee HK, Park SJ, Yi BH, Lee AL, Moon JH, Chang YW. Imaging features of adult choledochal cysts: a pictorial review. Korean journal of radiology. 2009;10(1):71-80.
CR  - Katabathina VS, Dasyam AK, Dasyam N, Hosseinzadeh K. Adult bile duct strictures: role of MR imaging and MR cholangiopancreatography in characterization. Radiographics. 2014;34(3):565-86.
CR  - Scheiman JM, Carlos RC, Barnett JL, et al. Can endoscopic ultrasound or magnetic resonance cholangiopancreatography replace ERCP in patients with suspected biliary disease? A prospective trial and cost analysis. The American journal of gastroenterology. 2001;96(10):2900-4.
CR  - Rösch T, Meining A, Frühmorgen S, et al. A prospective comparison of the diagnostic accuracy of ERCP, MRCP, CT, and EUS in biliary strictures. Gastrointestinal endoscopy. 2002;55(7):870-6.
CR  - Heinzow HS, Kammerer S, Rammes C, Wessling J, Domagk D, Meister T. Comparative analysis of ERCP, IDUS, EUS and CT in predicting malignant bile duct strictures. World Journal of Gastroenterology: WJG. 2014;20(30):10495.
CR  - Rösch T, Hofrichter K, Frimberger E, et al. ERCP or EUS for tissue diagnosis of biliary strictures? A prospective comparative study. Gastrointestinal endoscopy. 2004;60(3):390-6.
CR  - Moon JH, Cho YD, Cha SW, et al. The detection of bile duct stones in suspected biliary pancreatitis: comparison of MRCP, ERCP, and intraductal US. Official journal of the American College of Gastroenterology| ACG. 2005;100(5):1051-7.
CR  - Calvo MM, Bujanda L, Calderón A, et al., editors. Role of magnetic resonance cholangiopancreatography in patients with suspected choledocholithiasis. Mayo Clinic Proceedings; 2002: Elsevier.
CR  - Mesihović R, Mehmedović A. Better non-invasive endoscopic procedure: endoscopic ultrasound or magnetic resonance cholangiopancreatography? Medicinski Glasnik. 2019;16(1).
CR  - CeperoValdà M, Vara SM. Valor de la ecoendoscopÃa en el diagnóstico de las lesiones del tracto gastrointestinal. Investigaciones Medicoquirúrgicas. 2019;10(2).
CR  - Moparty B, Bhutani MS. Endoscopic ultrasonograpy for choledocholithiasis and biliary malignancy. Current Treatment Options in Gastroenterology. 2005;8(2):135-42.
CR  - Anwer M, Asghar MS, Rahman S, et al. Diagnostic accuracy of endoscopic ultrasonography versus the gold standard endoscopic retrograde cholangiopancreatography in detecting common bile duct stones. Cureus. 2020;12(12).
CR  - Szalacha-Tarała E, Ramotowski R, Guz W, Samojedny A, Dziurzyńska-Białek E, Jadczak P. Diagnostics of biliary dilatation by means of magnetic resonance cholangiopancreatography. Polish Journal of Radiology. 2014;79:315.
CR  - Gouveia C, Loureiro R, Ferreira R, et al. Performance of the choledocholithiasis diagnostic score in patients with acute cholecystitis. GE-Portuguese Journal of Gastroenterology. 2018;25(1):24-9.
CR  - Schroeder T, Hartman M, Heller M, Klepchick P, Ilkhanipour K. Duodenal diverticula: potential complications and common imaging pitfalls. Clinical radiology. 2014;69(10):1072-6.
CR  - Balci NC, Noone T, Akün E, Akinci A, Klör HU. Juxtapapillary diverticulum: findings on MRI. Journal of Magnetic Resonance Imaging: An Official Journal of the International Society for Magnetic Resonance in Medicine. 2003;17(4):487-92.
CR  - Nikolaidis P, Hammond NA, Day K, et al. Imaging features of benign and malignant ampullary and periampullary lesions. Radiographics. 2014;34(3):624-41.
UR  - https://doi.org/10.18663/tjcl.1396832
L1  - https://dergipark.org.tr/tr/download/article-file/3563275
ER  -