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Arq. gastroenterol ; 38(3): 149-157, jul.-set. 2001. ilus, tab
Article Dans Portugais | LILACS | ID: lil-317309

Résumé

BACKGROUND: The endoscopic retrograde cholangiopancreatography and magnetic resonance cholangiopancreatography were methods used for diagnosis of the diseases in the biliary and pancreatic ducts. AIM: Compare the diagnostic concordance among, analyzing sensitivity, specificity, positive predictive value, negative predictive value and accuracy. PATIENTS/METHODS: There were 41 patients in the studied group, divided in two groups: I--without biliary or pancreatic tract obstruction, and II--with obstruction. Group II was further divided in A--obstruction due to lithiasis, and B--due to other causes. RESULTS: Concordance between the two methods was found in 67% in group I and 82% in group II. Sensitivity of endoscopic retrograde cholangiopancreatography was 94% and magnetic resonance cholangiopancreatography was 89%. Specificity of endoscopic retrograde cholangiopancreatography was 100% and magnetic resonance cholangiopancreatography was 67%. Magnetic resonance cholangiopancreatography positive predictive value was 93%, the negative predictive value was 50% and the accuracy was 85%. CONCLUSION: Both methods showed the same sensitivity


Sujets)
Humains , Mâle , Femelle , Adulte , Adulte d'âge moyen , Cholangiographie , Cholestase , Imagerie par résonance magnétique , Pancréas , Maladies du pancréas , Sujet âgé de 80 ans ou plus , Cholangiopancréatographie rétrograde endoscopique , Sténose pathologique , Pancréas , Valeur prédictive des tests , Sensibilité et spécificité
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