Abstract:
Magnetic Resonance Cholangiopancreatography (MRCP) is a non-invasive imaging modality
that has high accuracy for evaluation of the biliary and pancreatic ducts. The current study
aims to assess the role of MRCP in finding various pancreaticobiliary pathologies. It was a
retrospective study, data was collected from 659 patients who underwent MRCP at MRI unit
Holy Family Hospital, Rawalpindi. Chi-Square was applied to find the difference in the
prevalence of various disorders. The presenting indication in our data shows 72% of patients
with pain (abdominal, epigastric and right hypochondrium) followed by jaundice in 11.3%
participants. Our results indicate that the most common pancreaticobiliary disorders were
obstructive including cholelithiasis along with choledocholithiasis (8.3%), cholelithiasis
(17.8%) CBD stricture (16.4%) and acute pancreatitis (10.9%). Moreover, our data also
showed that the obstructive disorders particularly cholelithiasis (20.9%vs 13.7%) was more
common in females as compared to males. We also showed that neoplastic disorders were
more prevalent in the age group 53-65, whereas strictures were more common in the 39-52
age group, and we have observed higher prevalence of inflammatory disorders in age group
27-39. MRCP allows the evaluation of pancreaticobiliary disorders with high accuracy. Being
non-invasive, MRCP can be used in early diagnosis and preventive treatment of
pancreaticobiliary disease thereby facilitating accurate diagnosis and subsequent clinical
management.
