MRCP evaluation of biliary system following vagotomy and gastric surgery

The aim of this study was to show the usefulness of MR cholangiopancreatography (MRCP) in demonstrating biliary system pathologies in patients with a history of vagotomy and Billroth II operations. The hepatobiliary system of eight patients with a history of vagotomy and Billroth II operations was e...

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Bibliographic Details
Published in:Clinical imaging 2005, Vol.29 (1), p.42-45
Main Authors: Erden, Gül Ayse, Kendi, A.Tuba Karagülle, Erden, Ilhan
Format: Article
Language:English
Subjects:
Bile Ducts, Intrahepatic - pathology
Biliary tract
Biliary Tract - pathology
Biological and medical sciences
Cholangiopancreatography
Cholangiopancreatography, Magnetic Resonance
Digestive system
Female
Gallstones - diagnosis
Gastroenterostomy
Humans
Imaging, Three-Dimensional
Investigative techniques, diagnostic techniques (general aspects)
Liver, biliary tract, pancreas, portal circulation, spleen
Male
Medical sciences
Middle Aged
MR imaging
Radiodiagnosis. Nmr imagery. Nmr spectrometry
Stomach
Stomach, duodenum, intestine, rectum, anus
Surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the digestive system
Vagotomy
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Summary:The aim of this study was to show the usefulness of MR cholangiopancreatography (MRCP) in demonstrating biliary system pathologies in patients with a history of vagotomy and Billroth II operations. The hepatobiliary system of eight patients with a history of vagotomy and Billroth II operations was evaluated with MRCP. Three-dimensional fast spin–echo technique was used at a 1.0-T scanner with following parameters: TR=2857–4615 ms, TE=850–1117 ms, BW=31.2, FOV=40, 21–28 slices, NEX=0.5, scan time=90 s. Eight patients were evaluated with MRCP. Three patients had cholecystectomy. In one patient the gall bladder wall was thickened, accompanied with an irregular, unknown filling defect at the level of the fundus. Four of these patients had common bile duct stones. Two patients had gallstones and one patient had a stone in the common hepatic duct. A capping deformity of the distal common bile duct was observed in all of the patients. We conclude that MRCP can be used effectively for evaluation of biliary system of patients with previous history of biliary or gastric operations.
ISSN:0899-7071
1873-4499
DOI:10.1016/j.clinimag.2004.01.002