WE2.1 An Audit of MRCP usage in patients with suspected biliary disease in a major teaching hospital in Dublin

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Abstract Aim To assess MRCP usage in patients with suspected biliary disease in a major teaching hospital in Dublin Background Our surgical team in this hospital regularly admits patients with complications arising from gallstones e.g. acute pancreatitis. This audit is aimed at looking at the appropriateness of using MRCP in this cohort of patients. Methods We accessed Beaumont's electronic patient records and its radiology system to gather the data. Data was collected over 3-months between September and December 2021 which included 91 patients. Results There were 82 inpatient and 9 outpatient requests performed over the 3-month period. The average inpatient wait for MRCP was 3.2 days. The commonest clinical indication was CBD stones. There were 55 females and 36 males with suspected biliary disease with an average age of 58 years. Majority of our patient cohort had deranged LFTs and had symptoms suggestive of a biliary disease. Ultrasound abdomen was performed in 41 patients (45%) prior to MRCP. CBD stones were only found in 15 patients (16%). 20 patients (22%) had surgical decompression of their biliary system. Conclusion Our clinicians use BSG guidelines on gallstones as an adjunct whether a patient needs an urgent MRCP. We still place a strong emphasis on the patient's clinical presentation and background history prior to ordering this scan. Recommendation Work with our radiology and gastroenterology colleagues, come up with a tailored approach and hospital guideline, to diagnose and treat our cohort of patients with biliary disease.