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Apport de la bili-IRM dans le diagnostic de la lithiase cholédocienne

Role of MR cholangiography in the diagnosis of choledocholithiasis

  • Diagnostic et Prise en Charge Thérapeutique de la Lithiase Cholédocienne
  • Published:
Acta Endoscopica

Conclusion

Malgré la bonne sensibilité et la bonne spécificité de la bili-IRM dans le diagnostic de la lithiase cholédocienne, il n'existe pas encore de consensus dans le rôle précis de cette technique diagnostique. Son caractère non invasif en fait l'examen de première intention en cas d'échec ou d'impossibilité techinque du cathétérisme rétrograde (anastomoses biliodigestives) [16] et chez les patients à «faible risque». Seulement 33% des patients qui ont un bilan hépatique perturbé ont une lithiase du cholédoque dans une série de patients ayant bénéficié d'une opacification peropératoire lors d'une cholécystectomie cœlioscopique [17]. Ce manque de spécificité conduit à un pourcentage non négligeable de l'ordre de 40 à 70% de CPRE négatives [18]. La bili-IRM pourrait permettre de réserver la CPRE aux patients qui bénéficieront d'un geste thérapeutique.

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Authors and Affiliations

  1. Service de Radiologie A, Hôpital Cochin, 27, rue Fg-St-Jacques, 75014, Paris, France

    O. Vignaux, F. Charleux & P. Legmann

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  1. O. Vignaux
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  2. F. Charleux
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  3. P. Legmann
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Correspondence to O. Vignaux.

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Vignaux, O., Charleux, F. & Legmann, P. Apport de la bili-IRM dans le diagnostic de la lithiase cholédocienne. Acta Endosc 30 (Suppl 2), 299–300 (2000). https://doi.org/10.1007/BF03017969

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  • DOI: https://doi.org/10.1007/BF03017969

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