Sensitivity and Specificity of Magnetic Resonance Cholangiopancreatography versus Endoscopic Ultrasonography against Endoscopic Retrograde Cholangiopancreatography in Diagnosing Choledocholithiasis: The Indonesian Experience
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Background/Aims: Biliary stone disease is one of the most common conditions leading to hospitalization. In addition to endoscopic retrograde cholangiopancreatography (ERCP), endoscopic ultrasonography (EUS) and magnetic resonance cholangiopancreatography (MRCP) are required in diagnosing choledocholithiasis. This study aimed to compare the sensitivity and specificity of EUS and MRCP against ERCP in diagnosing choledocholithiasis. Methods: This retrospective study was conducted after prospective collection of data involving 62 suspected choledocholithiasis patients who underwent ERCP from June 2013 to August 2014. Patients were divided into two groups. The first group (31 patients) underwent EUS and the second group (31 patients) underwent MRCP. Then, ERCP was performed in both groups. Sensitivity, specificity, and diagnostic accuracy of EUS and MRCP were determined by comparing them to ERCP, which is the gold standard. Results: The male to female ratio was 3:2. The mean ages were 47.25 years in the first group and 52.9 years in the second group. Sensitivity, specificity, accuracy, positive predictive value, and negative predictive value for EUS were 96%, 57%, 87%, 88%, and 80% respectively, and for MRCP were 81%, 40%, 68%, 74%, and 50%, respectively. Conclusions: EUS is a better diagnostic tool than MRCP for diagnosing choledocholithiasis.
Abstract
Background/Aims: Biliary stone disease is one of the most common conditions leading to hospitalization. In addition to endoscopic retrograde cholangiopancreatography (ERCP), endoscopic ultrasonography (EUS) and magnetic resonance cholangiopancreatography (MRCP) are required in diagnosing choledocholithiasis. This study aimed to compare the sensitivity and specificity of EUS and MRCP against ERCP in diagnosing choledocholithiasis. Methods: This retrospective study was conducted after prospective collection of data involving 62 suspected choledocholithiasis patients who underwent ERCP from June 2013 to August 2014. Patients were divided into two groups. The first group (31 patients) underwent EUS and the second group (31 patients) underwent MRCP. Then, ERCP was performed in both groups. Sensitivity, specificity, and diagnostic accuracy of EUS and MRCP were determined by comparing them to ERCP, which is the gold standard. Results: The male to female ratio was 3:2. The mean ages were 47.25 years in the first group and 52.9 years in the second group. Sensitivity, specificity, accuracy, positive predictive value, and negative predictive value for EUS were 96%, 57%, 87%, 88%, and 80% respectively, and for MRCP were 81%, 40%, 68%, 74%, and 50%, respectively. Conclusions: EUS is a better diagnostic tool than MRCP for diagnosing choledocholithiasis.
참고문헌 (22)
- Smith ZL, "Conn’s current therapy", pp.500~503 (2013), Elsevier Saunders
- Freitas ML, "Choledocholithiasis: evolving standards for diagnosis and management", World J Gastroenterol, 12, pp.3162~3167 (2006)
- Vázquez-Sequeiros E, "Diagnostic accuracy and therapeutic impact of endoscopic ultrasonography in patients with intermediate suspicion of choledocholithiasis and absence of findings in magnetic resonance cholangiography", Rev Esp Enferm Dig, 103, pp.464~471 (2011)
- Makmun D, "Effect of intravenous polyunsaturated fatty acids administration on gastric mucosal integrity in pig-tailed macaques with obstructive jaundice", The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy, 12, pp.8~14 (2011)
- Al-Jiffry BO, "Non-invasive assessment of choledocholithiasis in patients with gallstones and abnormal liver function", World J Gastroenterol, 19, pp.5877~5882 (2013)
- Anderson MA, "Complications of ERCP", Gastrointest Endosc, 75, pp.467~473 (2012)
- Makmun D, "Post-ERCP pancreatitis and its related factors: a prospective study in Cipto Mangunkusumo national general hospital", Journal of Digestive Endoscopy, 6, pp.163~168 (2015)
- Rana SS, "Role of endoscopic ultrasound in evaluation of unexplained common bile duct dilatation on magnetic resonance cholangiopancreatography", Ann Gastroenterol, 26, pp.66~70 (2013)
- Yusuf TE, "Role of endoscopic ultrasonography in diseases of the extrahepatic biliary system", J Gastroenterol Hepatol, 19, pp.243~250 (2004)
- Prachayakul V, "Diagnostic yield of endoscopic ultrasonography in patients with intermediate or high likelihood of choledocholithiasis: a retrospective study from one university-based endoscopy center", BMC Gastroenterol, 14, pp.165~ (2014)
- Alhayaf N, "The clinical impact and cost implication of endoscopic ultrasound on use of endoscopic retrograde cholangiopancreatography in a Canadian university hospital", Can J Gastroenterol, 22, pp.138~142 (2008)
- Eshghi F, "Routine magnetic resonance cholangiography compared to intra-operative cholangiography in patients with suspected common bile duct stones", Hepatobiliary Pancreat Dis Int, 7, pp.525~528 (2008)
- Kondo S, "Detection of common bile duct stones: comparison between endoscopic ultrasonography, magnetic resonance cholangiography, and helical-computed-tomographic cholangiography", Eur J Radiol, 54, pp.271~275 (2005)
- Tozzi di Angelo I, "Endosonography versus endoscopic retrograde cholangiopancreatography in diagnosing extrahepatic biliary obstruction", Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub, 155, pp.339~346 (2011)
- Palmucci S, "Magnetic resonance cholangiopancreatography and contrast-enhanced magnetic resonance cholangiopancreatography versus endoscopic ultrasonography in the diagnosis of extrahepatic biliary pathology", Radiol Med, 115, pp.732~746 (2010)
- Aubé C, "MR cholangiopancreatography versus endoscopic sonography in suspected common bile duct lithiasis: a prospective, comparative study", AJR Am J Roentgenol, 184, pp.55~62 (2005)
- McMahon CJ, "The relative roles of magnetic resonance cholangiopancreatography (MRCP) and endoscopic ultrasound in diagnosis of common bile duct calculi: a critically appraised topic", Abdom Imaging, 33, pp.6~9 (2008)
- Sotoudehmanesh R, "Diagnostic accuracy of endoscopic ultrasonography in patients with inconclusive magnetic resonance imaging diagnosis of biliopancreatic abnormalities", Indian J Gastroenterol, 30, pp.156~160 (2011)
- Verma D, "EUS vs MRCP for detection of choledocholithiasis", Gastrointest Endosc, 64, pp.248~254 (2006)
- Giljaca V, "Endoscopic ultrasound versus magnetic resonance cholangiopancreatography for common bile duct stones", Cochrane Database Syst Rev, (2), pp.CD011549~ (2015)
- Benjaminov F, "Consecutive versus separate sessions of endoscopic ultrasound (EUS) and endoscopic retrograde cholangiopancreatography (ERCP) for symptomatic choledocholithiasis", Surg Endosc, 27, pp.2117~2121 (2013)
- Maple JT, "The role of endoscopy in the evaluation of suspected choledocholithiasis", Gastrointest Endosc, 71, pp.1~9 (2010)