Factors Interfering with Delineation on MRCP of Pancreaticobiliary Maljunction in Paediatric PatientsReportar como inadecuado




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Background

The aim of this study was to assess factors for delineating the pancreaticobiliary junction in the presence of pediatric congenital choledochal cysts CCC using Magnetic resonance cholangiopancreatography MRCP.

Methods

Retrospective review of medical records for 48 patients with CCC was conducted, including demographics, biliary amylase and MRCP findings if available. With univariate and multivariate logistic regression, we measured significant factors affecting pancreaticobiliary maljunctionPBM diagnoses by MRCP.

Results

Of the subjects enrolled with CCC. Twenty-eight cases had PBM according to MRCP. Univariate analysis confirmed that age, cyst diameter > 30 mm and cysts that descended to the introitus pelvis affected junctional delineation and detection of PBM P<0.05. Stepwise logistic regression analysis confirmed large cysts in the introitus pelvis predicted pancreaticobiliary junctional delineation in MRCP and these data agreed with the literature. A correlation between cyst diameter and the length of the common channel was found as was cyst diameter and biliary amylase although there were no significant differences between them.

Conclusions

Age, cyst diameter >30 mm and descending cysts into the introitus pelvis affected junctional delineation of the pancreatic and bile duct in PBM with MRCP. Large cyst descension into the introitus pelvis was an independent factors affecting PBM detection.



Autor: Shun-gen Huang, Wan-liang Guo , Jian Wang, Mao Sheng, Xing-hao Lan, Lin Fang

Fuente: http://plos.srce.hr/



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