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The efficacy of magnetic resonance cholangiopancreatography in assessing the etiology of acute idiopathic pancreatitis
Yattoo GN1, Waiz Gowhar Amin2, Feroze A Shaheen3, Showkat Zargar4, Gul Javid4
1Professor, Department of Gastroenterology, Sher-i-Kashmir Institute of Medical Sciences (SKIMS), Srinagar, Kashmir, India.
2MD, Internal Medicine, Department of Gastroenterology, Sher-i-Kashmir Institute of Medical Sciences (SKIMS), Srinagar, Kashmir, India.
3Professor, Radiology, Department of Gastroenterology, Sher-i-Kashmir Institute of Medical Sciences (SKIMS), Srinagar, Kashmir, India.
4Professor Gastroenterology, Department of Gastroenterology, Sher-i-Kashmir Institute of Medical Sciences (SKIMS), Srinagar, Kashmir, India.

Article ID: 100018IJHPDGN2014
doi:10.5348/ijhpd-2014-18-OA-6

Address correspondence to:
Waiz Gowhar Amin
MD, Internal Medicine,Department of Gastroenterology
Sher-i-Kashmir Institute of Medical Sciences (SKIMS)
Srinagar, Kashmir
India
Email: waizgowhar@rediffmail.com

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How to cite this article
Yattoo GN, Amin WG, Shaheen FA, SZargar S, Javid G. The efficacy of magnetic resonance cholangiopancreatography in assessing the etiology of acute idiopathic pancreatitis. Int J Hepatobiliary Pancreat Dis 2014;4:32–39.


Abstract
Aims: Idiopathic pancreatitis may be diagnosed once all causes of pancreatitis are excluded by thorough history, metabolic profile and conventional imaging modality, i.e., abdominal ultrasonography. In this study, we have attempted to evaluate the cause of idiopathic pancreatitis with the help of magnetic resonance cholangiopancreatography (MRCP).
Methods: Fifty patients presenting with idiopathic pancreatitis were assessed prospectively using MRCP with strength 1.5 Tesla for potential cause of the attack of pancreatitis.
Results: Magnetic resonance cholangiopancreatography was able to establish the cause of pancreatitis in eleven (22%) patients, as follows. Common bile duct stone in one (2%), pancreatic divisum in one (2%), gallbladder stone in one (2%), pancreatic duct stone in one (2%), chronic pancreatitis in two (4%), gallbladder sludge in two (4%) and anomalous pancreaticobiliary union in three (6%) patients.
Conclusion: Magnetic resonance cholangiopancreatography, a non-invasive and complication free imaging modality is able to establish the cause of acute pancreatitis in patients in whom the diagnosis of idiopathic pancreatitis has been made following standard investigations. Idiopathic pancreatitis should not be diagnosed unless MRCP has been performed.

Keywords: Idiopathic pancreatitis, Pancreatitis, Causes of pancreatitis, Magnetic resonance cholangiopancreatography (MRCP)

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Author Contributions:
Yattoo GN – Substantial contributions ton conception and design, Acquisition of data, Drafting the article, revising it critically for important intellectual content, Final approval of the version to be published
WaizGowhar Amin – Substantial contributions ton conception and design, Acquisition of data, Drafting the article, revising it critically for important intellectual content, Final approval of the version to be published
Feroze Shaheen – Substantial contributions ton conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Showkat A Zargar – Substantial contributions ton conception and design, Acquisition of data, Drafting the article, revising it critically for important intellectual content, Final approval of the version to be published
Gul Javid – Substantial contributions ton conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2014 Yattoo GN et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



About The Authors

Yattoo GN is Professor, Department of Gastroenterology, Sher-i-Kashmir Institute of Medical Sciences (SKIMS), Srinagar, Kashmir, India.



Waiz Gowhar Amin is Resident in Department of Internal Medicine at Skims Medical College Bemina Srinagar Kashmir, India. He earned the undergraduate degree MBBS from Department of Internal Medicine at Skims Medical College Bemina Srinagar Kashmir, India and postgraduate degree form MD from Department of Internal Medicine at Skims Medical College Soura Srinagar Kashmir, India. His research interests include Gasteroenterology. He intends to pursue Fellowship In Emergency Medicine in future.



Feroze A Shaheen is Professor, Radiology, Department of Gastroenterology, Sher-i-Kashmir Institute of Medical Sciences (SKIMS), Srinagar, Kashmir, India.



Showkat Zargar is Professor Gastroenterology, Department of Gastroenterology, Sher-i-Kashmir Institute of Medical Sciences (SKIMS), Srinagar, Kashmir, India.



Gul Javid is Professor Gastroenterology, Department of Gastroenterology, Sher-i-Kashmir Institute of Medical Sciences (SKIMS), Srinagar, Kashmir, India.