Role of MRCP as pre-operative investigation in cholelithiasis patients and its correlation with liver function tests and USG abdomen for choledocolithiasis -A longitudinal study
Introduction:
Cholelithiasis is a common surgical diagnosis and Laparoscopic cholecystectomy is a common surgical procedure. One of the postoperative complications of Laparoscopic cholecystectomy is retained bile duct stone due to failure of diagnosing these preoperatively. This leads to increased morbidity and mortality in post-cholecystectomy patients. USG abdomen and liver function tests are routinely done preoperatively in cholelithiasis patients. These have poor sensitivity and specificity for diagnosing CBD stones. MRCP is a highly sensitive and specific investigation for CBD stone detection.
Aim:
To evaluate the role of routine MRCP in all patients of cholelithiasis and its correlation with liver function test (S. Bilirubin, SGOT, SGPT and S. Alkaline phosphatase) and ultrasound abdomen for diagnosing CBD stones.
Material and Methods
The present study was a longitudinal study done on 100 patients diagnosed to have cholelithiasis on an ultrasound abdomen with no CBD stone. All the patients were investigated with liver function tests and MRCP pre-operatively for detection of missed CBD stones. Data were analyzed with SPSS software and a chi-square test was used and a p-value
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