Abstract:
Introduction. Imaging methods and interventional
radiology implemented in practice have
ushered in a new era in the diagnosis and
treatment of mechanical jaundice syndrome.
However, controversial opinions remain in
the case of the association of jaundice and
acute pancreatitis. Purpose. Evaluation of the efficacy of ERCP and MRI
cholangiography in the diagnosis of
cholestatic jaundice in acute biliary
pancreatitis.Material and methods.he results show the evaluation of bile duct
permeability in 63 cases of cholestatic
jaundice highlighted in acute biliary
pancreatitis. The study was divided into two
groups. ERCP was used in 28 cases in group I,
and MRI cholangiography performed in 35
cases in group II.Results. The choledochal lithiasis present was detected in
15 patients in group I and 19 in group II, in
another 13 cases in group I and 16-group II the
absence of choledocholithiasis in the biliary tract
slightly dilated. Decreased clinical manifestations
and serum amylase values in group I Xn ± ES =
5.38 ± 0.34 days, and in group II Xn ± ES = 4.89 ±
0.39 days. The statistical difference is significant t
= 0.94 p> 0.05. Complications in group I -2 cases
of acutisation of acute pancreatitis, in group II -
absent. Conclusions. The absence of gallstones in 43.06% of
cases in examinations confirms the
maintenance of cholestasis by
inflammatiom component remaining to
the migration of the stone. The
potential for lithiasis detection is
equivalent, but in the case of elevated
enzymes. preference in the diagnostic
stage should be given to MRI.
