A correlational study on the diagnostic utility of magnetic resonance cholangiopancreaticography (MRCP) in the evaluation of gall stone disease and biliary tract morphology

Abstract

Introduction: Gall stone disease is a common condition which is a cause of significant morbidity in the society. It is most of the time asymptomatic but sometimes presents with serious symptoms. It can be diagnosed by investigations like Ultrasonography, Computerized Tomography (CT), Magnetic Resonance Cholangiopancreatography (MRCP) and Endoscopic Retrograde Cholangiopancreatography (ERCP). The definitive treatment for gallstone disease is surgery.Objectives of the study:1.To compare Magnetic Resonance Cholangiopancreatography and laparoscopic findings in gall stone disease. 2.To study the anatomy of intra and extra hepatic biliary radicals and evaluate the anatomical variations. MethodologyStudy design: Correlational studyStudy population: Total 100 cases of gall stone disease undergoing laparoscopic cholecystectomy are included in this study. Setting: Department of Radiodiagnosis, S.P. Medical College, BikanerInclusion Criteria: All patients of gall stone disease who were admitted for laparoscopic cholecystectomy and undergoing the same after taking an informed consent. Exclusion Criteria1.Patients with pacemaker or any kind of metallic implants/prosthesis or metallic foreign body. 2.Patients suffering from claustrophobia. 3.Patients refuse to give informed consent. Period of Study: 01 June 2019 to 31 May 2020. Results and Conclusion: The present study attempts to determine the role of magnetic resonance imaging and magnetic resonance Cholangiopancreatography prior to laparoscopic cholecystectomy in gallstone disease. Gallstone disease is a common disease responsible for considerable morbidity in the society. Surgery is the definitive treatment and laparoscopic cholecystectomy has largely replaced conventional surgery. However, laparoscopic cholecystectomy carries a higher risk of injury to biliary tree than conventional surgery. Significant number of these injuries are caused by variations in the biliary tree anatomy.