Patterns of Pancreatico-Biliary Pathologies Diagnosed By Magnetic Resonance Cholangio Pancreatography at a Tertiary Care Hospital

ABSTRACT INTRODUCTIN Disorders of pancreatico-biliary system are common all over the world. Commonly occurring disorders of pancreaticobiliary systems are cholelithiasis, choledocholithiasis, cholecystitis, pancreatitis, cholangitis, gall bladder carcinoma, cholangiocarcinoma, carcinoma pancreas, peri ampullary growth etc. Variety of imaging modalities are available including ultrasonography (US), computed tomography (CT) and invasive cholangiography for the evaluation of those above mentioned conditions. All these techniques have their own limitations. MRCP overcomes these limitations. MRCP is an excellent, non-invasive, radiation free and highly sensitive diagnostic procedure for patients with suspected bile duct or pancreatic duct abnormalities. MATERIAL & METHOD This single-center, hospital based prospective cross-sectional study was conducted at the Department of Radiodiagnosis at AGMC and GB Pant Hospital, Agartala, Tripura over a period of 7 months. All the patients, who were referred for MRCP, from various department of this institution to Department of Radiodiagnosis and in whom the study was done, were included in this study. A total of 100 patients were included. RESULT The mean age of the study sample was 45.87 years with a range of 0 to 90 years. Among them, 51 were male and 49 were females. Most of pathologies observed were benign – in 81 cases (81%). Most common benign disorder observed was Cholelithiasis (43%) followed by choledocholithiasis (26%). Rest 19 cases (19%) were malignant. CONCLUSION MRCP is noninvasive, non-ionizing imaging modality for evaluation of the pancreaticobiliary anatomy and pathology, having highest resolution of the pancreaticobiliary tree. It is becoming a non-invasive alternative to Endoscopic Retrograde Cholangio pancreatography (ERCP).