Diameters of the common bile duct in adults and postcholecystectomy patients: A study with 64-slice CT

Şentürk, Senem; Miroglu, Tugba Cezlan; Bilici, Aslan; Gümüş, Hatice; Tekin, Rojbin Ceylan; Ekıcı, Faysal; Tekbaş, Güven

doi:10.1016/j.ejrad.2010.11.007

Cited by 49 publications

(51 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Some contemporaneous studies have been summarized in Table 4. Morbidity and 30-day mortality rates in our study, at 26% and 6.5% respectively, are comparable to those of other contemporary series, 3,5,7,8 especially given the greater proportion of high-risk patients within the current study. 6,9 The incidence of biliary anastomotic leaks in our cohort compares with the rates of 2.2%-10.0% reported in the literature.…”

Section: Discussionsupporting

confidence: 86%

“…There is evidence that preoperative biliary drainage increases the incidence of septic complications. 7,13 Endoscopic biliary stenting (as opposed to percutaneous biliary drainage) has also been reported to be protective. 3 Younger patients with injury and benign disease usually have non-dilated bile ducts and are less likely to have received preoperative biliary drainage than those undergoing surgery for malignancy (53% versus 67%).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Complications of biliary-enteric anastomoses

Khorsandi

et al. 2017

annals

View full text Add to dashboard Cite

INTRODUCTION Biliary-enteric anastomoses are performed for a range of indications and may result in early and late complications. The aim of this study was to assess the risk factors and management of anastomotic leak and stricture following biliaryenteric anastomosis. METHODS A retrospective analysis of the medical records of patients who underwent biliary-enteric anastomoses in a tertiary referral centre between 2000 and 2010 was performed. RESULTS Four hundred and sixty-two biliary-enteric anastomoses were performed. Of these, 347 (75%) were performed for malignant disease. Roux-en-Y hepaticojejunostomy or choledocho-jejunostomy were performed in 440 (95%) patients. Perioperative 30-day mortality was 6.5% (n=30). Seventeen patients had early bile leaks (3.7%) and 17 had late strictures (3.7%) at a median of 12 months. On univariable logistic regression analysis, younger age was a significant risk factor for biliary anastomotic leak. However, on multivariable analysis only biliary reconstruction following biliary injury (odds ratio [OR]=6.84; p=0.002) and anastomosis above the biliary confluence (OR=4.62; p=0.03) were significant. Younger age and biliary reconstruction following injury appeared to be significant risk factors for biliary strictures but multivariable analysis showed that only younger age was significant. CONCLUSIONS Biliary-enteric anastomoses have a low incidence of early and late complications. Biliary reconstruction following injury and a high anastomosis (above the confluence) are significant risk factors for anastomotic leak. Younger patients are significantly more likely to develop an anastomotic stricture over the longer term.

show abstract

Section: Discussionsupporting

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Complications of biliary-enteric anastomoses

Khorsandi

et al. 2017

annals

View full text Add to dashboard Cite

show abstract

“…The number of control groups was based on power calculations using average bile duct size and standard deviation of approximately 5 6 2 mm based on findings of multiple prior studies examining average CBD size as assessed on CT to detect an average difference in bile duct diameter of 1 mm. 11 To achieve a p , 0.05 and desired power of 0.90, average sample size required was 85 individuals. This value was approximately doubled to establish study and control group sizes.…”

Section: Methodsmentioning

confidence: 99%

Biliary dilatation in the presence of a periampullary duodenal diverticulum

Lee

Brahm

Bruni

et al. 2015

BJR

View full text Add to dashboard Cite

“…Moreover, the fragmentation of the longitudinal smooth myocyte bands in elderly subjects and use of drugs such as calcium antagonists and nitroglycerine, may reduce contractility and cause hypotonus of the duct [12,14] . Finally, prior cholecystectomy seems to influence CBD diameter since gallbladder physiologically plays a role in accommodation of pressure fluctuation in biliary system which, after surgery, could be transferred to bile duct causing dilatation [11,[15][16][17] . Among non-obstructive etiologies of CBD dilatation, opioids consumption has been described.…”

Section: Causes Of Biliary Dilatationmentioning

confidence: 99%

Endoscopic ultrasound in common bile duct dilatation with normal liver enzymes

Angelis¹,

Marietti²,

Bruno³

et al. 2015

WJGE

View full text Add to dashboard Cite

In recent years, the description of isolated bile duct dilatation has been increasingly observed in subjects with normal liver function tests and nonspecific abdominal symptoms, probably due to the widespread use of high-resolution imaging techniques. However, there is scant literature about the evolution of this condition and the impact of endoscopic ultrasound (EUS) in the diagnostic work up. When noninvasive imaging tests (transabdominal ultrasound, computed tomography or magnetic resonance cholangiopancreatography) fail to identify the cause of dilatation and clinical or biochemical alarm signs are absent, the probability of having biliary disease is considered low. In this setting, using EUS, the presence of pathologic findings (choledocholithiasis, strictures, chronic pancreatitis, ampullary or pancreatic tumors, cholangiocarcinoma), not always with a benign course, has been observed. The aim of this review has been to evaluate the prevalence of disease among nonjaundiced patients without signs of cytolysis and/or cholestasis and the assessment of EUS yield. Data point out to a promising role of EUS in the identification of a potential biliary pathology. EUS is a low invasive technique, with high accuracy, that could play a double cost-effective role: identifying pathologic conditions with dismal prognosis, in asymptomatic patients with negative prior imaging tests, and excluding pathologic conditions and further follow-up in healthy subjects. Core tip: Common bile duct dilatation, often without identified causes, in subjects with normal liver function tests and nonspecific abdominal symptoms, and absence of lesions on prior noninvasive imaging tests, is increasingly found in the clinical practice. Since the clinical suspicion for biliary pathology in that setting is usually low, and there are limited literature data, this condition is ignored. However, recent evidences show the existence of pathologies among these patients, often with a non-benign course. In this scenario, endoscopic

show abstract

Diameters of the common bile duct in adults and postcholecystectomy patients: A study with 64-slice CT

Cited by 49 publications

References 11 publications

Complications of biliary-enteric anastomoses

Complications of biliary-enteric anastomoses

Biliary dilatation in the presence of a periampullary duodenal diverticulum

Endoscopic ultrasound in common bile duct dilatation with normal liver enzymes

Contact Info

Product

Resources

About