Monday, July 29, 2024

Pathologies colangiopancreatography.

 

1. Methods of Colangiopancreatography:

  • Endoscopic Retrograde Cholangiopancreatography (ERCP):

    • Description: An endoscopic procedure where a contrast dye is injected into the bile and pancreatic ducts through a catheter inserted via the duodenum.
    • Uses: Diagnosis and treatment of bile duct stones, strictures, infections (e.g., cholangitis), and pancreatic duct abnormalities.
  • Magnetic Resonance Cholangiopancreatography (MRCP):

    • Description: A non-invasive imaging technique using magnetic resonance imaging (MRI) to obtain detailed images of the bile and pancreatic ducts.
    • Uses: Visualization of ductal anatomy, detection of stones, and assessment of ductal strictures or tumors.
BILE DUCT ANATOMY
BILE DUCT ANATOMY


2. Common Pathologies Diagnosed by Colangiopancreatography:

  • Biliary Tract Stones (Choledocholithiasis):

    • Description: Presence of stones in the bile ducts.
  • Cholangiocarcinoma:

    • Description: Malignant tumor of the bile duct.
  • Pancreatic Duct Obstruction:

    • Description: Blockage of the pancreatic duct, which can be caused by stones, tumors, or strictures.
  • Acute Cholangitis:

    • Description: Infection of the bile duct system, often due to obstruction.
  • Primary Sclerosing Cholangitis (PSC):

    • Description: Chronic liver disease characterized by inflammation and scarring of the bile ducts.
  • Pancreatic Cancer:

    • Description: Malignancy of the pancreas that can invade or obstruct the pancreatic duct.
  • Cystic Lesions of the Pancreas:

    • Description: Fluid-filled sacs within the pancreas, such as pseudocysts or cystadenomas.


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