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Early biliary complications of laparoscopic cholecystectomy: Evaluation on T2-weighted MR cholangiography in conjunction with mangafodipir trisodium-enhanced 3D T1-weighted MR cholangiography

Authors
 Mi-Suk Park  ;  Ki Whang Kim  ;  Hyung Sik Yoo  ;  Jong Tae Lee  ;  Hyun Kwon Ha  ;  Woo Jung Lee  ;  Jong Du Lee  ;  Sung In Lee  ;  Tae Kyoung Kim  ;  Dong-Sup Yoon  ;  Eun-Suk Cho  ;  Joon Suk Lim  ;  Kyoung Won Kim  ;  Myeong-Jin Kim  ;  Jeong-Sik Yu 
Citation
 AMERICAN JOURNAL OF ROENTGENOLOGY, Vol.183(6) : 1559-1566, 2004 
Journal Title
 AMERICAN JOURNAL OF ROENTGENOLOGY 
ISSN
 0361-803X 
Issue Date
2004
MeSH
Adult ; Aged ; Aged, 80 and over ; Bile Ducts/pathology* ; Cholangiopancreatography, Magnetic Resonance* ; Cholecystectomy, Laparoscopic* ; Contrast Media/administration & dosage* ; Edetic Acid/administration & dosage* ; Edetic Acid/analogs & derivatives* ; Female ; Humans ; Injections, Intravenous ; Male ; Middle Aged ; Postoperative Complications/diagnosis* ; Pyridoxal Phosphate/administration & dosage* ; Pyridoxal Phosphate/analogs & derivatives*
Abstract
OBJECTIVE: Our aim was to assess preliminary experience with combined conventional T2-weighted and mangafodipir trisodium (MnDPDP)-enhanced T1-weighted MR cholangiography in evaluating early biliary complications of laparoscopic cholecystectomy. SUBJECTS AND METHODS: Conventional heavily T2-weighted MR cholangiography with MnDPDP-enhanced T1-weighted MR cholangiography and ERCP were performed in seven patients with high clinical suspicion of biliary complications after laparoscopic cholecystectomy. The final diagnoses of complications were classified according to the presence and degree of bile duct injury, bile leakage, and retained stones. RESULTS: The diagnoses on MR cholangiography were as follows: complete transection and occlusion of the common bile duct with bile leakage (n = 3), partial strictures of the common bile duct with bile leakage (n = 1), cystic duct leakage (n = 1), partial ligation of an aberrant right hepatic duct (n = 1), and hemorrhage without biliary complication (n = 1). The final diagnoses at surgery (n = 2) and ERCP (n = 5) were as follows: complete transection and occlusion of the common bile duct with bile leakage (n = 2), partial strictures of the common bile duct with bile leakage (n = 2), cystic duct leakage (n = 1), partial ligation of an aberrant right hepatic duct (n = 1), and hemorrhage without biliary complication (n = 1). MR cholangiography accurately yielded the same findings as the final diagnoses, except in one case with partial stricture of the bile duct with bile leakage (overdiagnosed as complete occlusion on MR cholangiography). CONCLUSION: Combined conventional T2-weighted and MnDPDP-enhanced T1-weighted MR cholangiography may eliminate the use of other studies for the imaging of biliary complications after cholecystectomy if this preliminary data can be verified in a larger study.
Full Text
http://www.ajronline.org/doi/abs/10.2214/ajr.183.6.01831559
DOI
10.2214/ajr.183.6.01831559
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Nuclear Medicine (핵의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Ki Whang(김기황)
Kim, Myeong Jin(김명진) ORCID logo https://orcid.org/0000-0001-7949-5402
Park, Mi-Suk(박미숙) ORCID logo https://orcid.org/0000-0001-5817-2444
Yu, Jeong Sik(유정식) ORCID logo https://orcid.org/0000-0002-8171-5838
Yoo, Hyung Sik(유형식)
Yoon, Dong Sup(윤동섭) ORCID logo https://orcid.org/0000-0001-6444-9606
Lee, Woo Jung(이우정) ORCID logo https://orcid.org/0000-0001-9273-261X
Lee, Jong Doo(이종두)
Lee, Jong Tae(이종태)
Lim, Joon Seok(임준석) ORCID logo https://orcid.org/0000-0002-0334-5042
Cho, Eun Suk(조은석)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/111472
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