Size and type of periampullary duodenal diverticula are associated with bile duct diameter and recurrence of bile duct stones

Kim, Chang Whan; Chang, Jae Hyuck; Kim, Ji Hun; Kim, Tae Ho; Lee, In Seok; Han, Sok Won

doi:10.1111/jgh.12184

Cited by 47 publications

(52 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…PAD is a risk factor for CBD stone formation that often causes a dilated CBD [21] that may affect the function of the SO [22]. In our study, about 36.8% (28/76) patients were with PAD, and this is similar to the result of a recent study from South China that the percentage is 38.8% (99/255) [23].…”

Section: Discussionsupporting

confidence: 89%

Manometric Measurement of the Sphincter of Oddi in Patients with Common Bile Duct Stones: A Consecutive Study of the Han Population of China

Feng

Zhang

Jiao

et al. 2017

Gastroenterology Research and Practice

View full text Add to dashboard Cite

Objective. Role of dysfunction of the sphincter of Oddi (SO) in choledocholithiasis is controversial. This study was to evaluate SO motor activity in patients with common bile duct (CBD) stones in the Han population of China. Patients and Methods. In this study, 76 patients with CBD stones were enrolled in a single tertiary endoscopy center. Data of SO motor activities was prospectively evaluated by endoscopic manometry. Mean basal SO pressure, amplitude, and frequency were collected and analyzed. Results. The mean basal SO pressure, amplitude, and frequency were 52.7 ± 40.0 (1.60–171.1) mmHg, 39.9 ± 19.7 (14.9–115.5) mmHg, and 5.7 ± 3.2 (1.3–13.8)/min, respectively. The basal SO pressure was higher in patients with CBD stones < 10 mm in diameter than that in those with CBD stones larger than 10 mm in diameter (60.7 ± 41.0 mmHg versus 36.8 ± 29.4 mmHg, P = 0.043). There was no significant difference in the basal SO pressure, amplitude, and frequency when compared with the CBD diameter, CBD stone number, prior cholecystectomy, periampullary diverticula, and symptoms. Levels of alanine aminotransferase, aspartate transaminase, γ-glutamyl transpeptidase, and alkaline phosphatase showed no significant difference in patients with normal or elevated basal SO pressure. Conclusion. These results identify that, in Chinese Han population, abnormalities of SO motor activity are associated with CBD stones.

show abstract

Section: Discussionsupporting

confidence: 89%

Manometric Measurement of the Sphincter of Oddi in Patients with Common Bile Duct Stones: A Consecutive Study of the Han Population of China

Feng

Zhang

Jiao

et al. 2017

Gastroenterology Research and Practice

View full text Add to dashboard Cite

show abstract

“…Also periampullary diverticuli are associated with larger stones and severe cholangitis [15, 16]. This could not be confirmed in the present study; stones in the common bile duct as well as cholangitis occurred in both groups of patients.…”

Section: Discussioncontrasting

confidence: 75%

The Impact of Duodenal Diverticuli and the Execution of Endoscopic Retrograde Cholangiopancreaticography

Loffeld

Dekkers

2016

International Scholarly Research Notices

View full text Add to dashboard Cite

Introduction. Duodenal diverticuli alter the anatomy of the papillary region and can make an ERCP difficult. Aim. To study the outcome of ERCP in cases of duodenal diverticuli. Patients and Methods. Consecutive ERCPs in a period of 24 years were included. Endoscopy reports were studied for presence of diverticuli. Success of the procedure and findings were noted. Clinical records were searched for clinical presentation of the patient. Patients without duodenal diverticuli were used as comparison. Results. 2795 procedures were done in 2092 patients. Of these, 211 (10%) had diverticuli. Diverticuli occurred significantly more often in women (p < 0.001). ERCP was significantly more often inconclusive in cases of a diverticulum, 12.8% versus 6.3%, p < 0.001. In cases of a successful ERCP, patients with diverticuli showed more often no abnormalities in the bile duct, 26% versus 17%, p < 0.001. In 64% of cases, the reason for ERCP was cholestasis. There was no significant difference in presence of stones or cholangitis. Biliary pancreatitis was seen more often in patients without diverticuli, 4.4% versus 1.4%, p = 0.04. This was also the case for malignancies, 18.5% versus 6.6%, p < 0.001. Conclusion. It is concluded that duodenal diverticuli can be responsible for cholestasis. Presence of a diverticulum in the duodenum makes the ERCP procedure more complex.

show abstract

“…However, only a small number of patients in this series (27 patients) had PAD and age was not adjusted in the control group. The most recent study by Kim et al 16 has suggested that there is an association between large PAD and dilated CBD based on a total of 74 cases. Similar to the previous studies, age was not matched in the control group.…”

Section: Discussionmentioning

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

Size and type of periampullary duodenal diverticula are associated with bile duct diameter and recurrence of bile duct stones

Abstract: PAD are associated with larger CBD stones and severe cholangitis with CBD stones. CBD diameter is related to PAD size, and the recurrence of CBD stones is related to PAD type.

Cited by 47 publications

References 22 publications

Manometric Measurement of the Sphincter of Oddi in Patients with Common Bile Duct Stones: A Consecutive Study of the Han Population of China

Manometric Measurement of the Sphincter of Oddi in Patients with Common Bile Duct Stones: A Consecutive Study of the Han Population of China

The Impact of Duodenal Diverticuli and the Execution of Endoscopic Retrograde Cholangiopancreaticography

Biliary dilatation in the presence of a periampullary duodenal diverticulum

Contact Info

Product

Resources

About