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Arq Gastroenterol ; 38(3): 149-57, 2001.
Artigo em Português | MEDLINE | ID: mdl-11917713

RESUMO

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.


Assuntos
Colangiografia/métodos , Colestase/diagnóstico , Imageamento por Ressonância Magnética/métodos , Pancreatopatias/diagnóstico , Ductos Pancreáticos/diagnóstico por imagem , Adulto , Idoso , Idoso de 80 Anos ou mais , Colangiopancreatografia Retrógrada Endoscópica/métodos , Constrição Patológica/diagnóstico , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Ductos Pancreáticos/patologia , Valor Preditivo dos Testes , Sensibilidade e Especificidade
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