Correlation of MRCP and surgical findings in patients with obsructive jaundice at MNH.

Abstract

Background MRCP has shown an excellent capability in outlining the biliary tree hence demonstration of the level of biliary blockage (obstruction). Objective To determine the correlation of MRCP and intra operative (surgical) findings in patients with obstructive jaundice at MNH from June-December2016. Materials and methods This is a cross-sectional hospital based study in which patients with obstructive jaundice were recruited. A sample size of 60 patients were studied using standardised questionnaires.Data analysis was done using statistical software(SPSS version 20) and statistical level of significance was p < 0.05. Results In this study females 37(61.7%) are more affected than males 23(38.3%).Of these 41-60 years old age group were commonly seen with range of 32-79 years of age. Obstructive jaundice was commonly caused by Cholelithiasis followed by pancreatic head tumor.Obstructive jaundice is siginificantly caused by cholelithiasis(p<0.001) and pancreatic head tumor (p-value<0.0001).With MRCP, sensitivity and specificity was almost 100%. The results show that there were very strong and positive correlation between MRCP and intra operative findings. Conclusion MRCP is highly sensitive and specific with almost 100% in provision of accurate diagnosis.It is important because it shows levels,causes and extent of obstructions making it easier for surgeons to intervene. Recommendations 1. MRCP should be an indication for the patients with obstructive jaundice. 2. Large study should be conducted involving other referal hospitals in the country so that it can represent the general population. 3. MRCP should be used before surgery or for surgical planning.