The Common Duct After Cholecystectomy

Edmunds, Robert; Katz, Saul; Garciano, Vincente; Finby, Nathaniel

doi:10.1001/archsurg.1971.01350070105025

Cited by 17 publications

(12 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…After cholecystectomy, a slight dilatation of the common bile duct diameter commonly occurs [ 38 ], and is possibly associated with postcholecystectomic syndromes [ 39 ]. However, several previous studies reported inconsistent results regarding the association between dilatation of the common bile duct diameter and postcholecystectomic syndromes [ 38 - 40 ].…”

Section: Discussionmentioning

confidence: 99%

Association between dietary intake and postlaparoscopic cholecystectomic symptoms in patients with gallbladder disease

Shin

Choi

Lee

et al. 2018

Korean J Intern Med

View full text Add to dashboard Cite

Background/AimsAfter cholecystectomy, patients have reported postcholecystectomic syndromes such as abdominal symptoms, dyspepsia, and diarrhea, which suggest a relationship between cholecystectomic symptoms and diet, although the details of this association remain unclear. The present study investigated the hypothesis that dietary intake of nutrients and foods was significantly associated with postcholecystectomic syndromes.MethodsGallstone patients (n = 59) who underwent laparoscopic cholecystectomy were enrolled, and dietary intake and clinical parameters were assessed immediately postcholecystectomy and 3 months later.ResultsThere were no significant differences in biochemical measurements or characteristics between symptomatic and asymptomatic patients. Immediately postcholecystectomy, there were no significant differences in consumption of nutrients or foods between symptomatic and asymptomatic patients. However, 3 months after cholecystectomy, symptomatic patients consumed more animal protein, cholesterol, and eggs, and fewer vegetables than did asymptomatic patients. Multivariable-adjusted regression analyses also indicated that the risk for symptoms was positively associated with intake of animal protein, cholesterol, and eggs, but negatively associated with intake of vegetables after adjusting for confounders. In addition, symptomatic patients consumed more bread-based breakfast foods, while asymptomatic patients consumed more rice.ConclusionsPostcholecystectomic syndromes were positively associated with intake of cholesterol, animal protein, and eggs, and negatively associated with intake of vegetables, suggesting that diet was plays a role in postcholecystectomic syndromes.

show abstract

Section: Discussionmentioning

confidence: 99%

Association between dietary intake and postlaparoscopic cholecystectomic symptoms in patients with gallbladder disease

Shin

Choi

Lee

et al. 2018

Korean J Intern Med

View full text Add to dashboard Cite

show abstract

“…11 Graham et al studied the size of ommon hepatic duct in post cholecystectomy patients and found that the common hepatic duct generally does not dilate following the removal of gall bladder. 12 Mueller et al described the capacity of the common bile duct to distend and collapse over a short period. 13 Kaude et al measured the common bile duct diameter in 600 cases ultrasonographically before and after cholecystectomy.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of effect of cholecystectomy on common bile duct diameter using ultrasonography and liver function test: a prospective study

Bhalerao¹,

Batra²,

Utaal³

et al. 2018

Int Surg J

View full text Add to dashboard Cite

INTRODUCTIONThe evolution of the common bile duct diameter following cholecystectomy has been a matter of considerable scientific debate in the surgical, radiological and sonographic literature for several decades. Many of the scientist, who worked on this subject initially did not find any considerable changes in the CBD diameter after cholecystectomy. Different factors influencing the post cholecystectomy CBD diameter have been implicated. Ultrasound has emerged as a diagnostic imaging method of choice for liver and extrahepatic biliary system. Structure details down to a millimeter are available. Post operative immediate viewing of changing structure is a characteristic feature of ultrasound.1 The normal range of CBD size depends on age. Siegel stated that in infancy the normal CBD size should be <2 mm, <4 mm in childhood, and <7 mm after adolescence. 2As abdominal ultrasonographic exams are frequently performed, bile duct dilatations are incidentally found in gallbladder resected patients. When bile duct dilatation is discovered in asymptomatic patients, it is often difficult to differentiate whether it is the physiological change of gallbladder resection or the early findings of bile duct lesions. In order to differentiate the diagnosis of ABSTRACT Background: Different factors influencing the post cholecystectomy CBD diameter have been implicated. Ultrasound has emerged as a diagnostic imaging method of choice for liver and extrahepatic biliary system. In order to differentiate the diagnosis of asymptomatic bile duct dilatation, one needs to perform either MRCP or ERCP, which are both expensive and/or invasive test. Therefore, it is necessary to understand the physiological changes in bile duct after cholecystectomy to reduce unnecessary testing for early detection of bile duct lesions. Methods: 100 cases of gall stone disease undergoing cholecystectomy in the department of surgery were studied. Pre operative and Post operative Ultrasound whole abdomen with focus on CBD diameter and Liver function test were done, Post operative data was collected on 10th day and again after 3 months. The data was compiled, compared and analysed. Results: The mean preoperative diameter was 4.12 mm, postoperatively, the mean diameter of the CBD in early follow up period i.e. at 10th day and at 3 months, was found to be 4.75 and 5.14 mm respectively. The difference between mean preoperative and mean postoperative (10th day follow up) diameter was found to be 0.63 mm (p<0.01). The difference between mean preoperative and mean postoperative (3 months follow up) diameter was found to be 1.02 (p<0.01) mm, both statistically significant. Conclusions: Significant compensatory dilatation does occur in common bile duct diameter after cholecystectomy in most of the patients.

show abstract

“…The mean dilatation of CBD of both postoperative readings (48hrs and 1 month interval) is 1.38 and 1.82mm respectively and it is statistically significant (p<0.001) The average of both post-operative readings is 1.60 mm as observed by other similar studies as well with all values less than 2.0 mm. 4,8,[14][15][16][17][18][19] This dilatation is explained by early published reports on animals, which found that the extra biliary system dilates to 2-3 times their normal caliber (found on reoperation on animals). 20,21 These results were explained on the assumption that some powerful mechanism is there (sphincter of oddi) which opposes the continuous outpouring of bile in duodenum and causes the dilatation of bile ducts as a consequence of increased intraductal pressure due to continuous secretion of bile from liver and it will be maintained until the biliary tract will contain as much bile as a normal filling gallbladder.…”

Section: Post Cholecystectomy Cbd Dilatationmentioning

confidence: 99%

Post cholecystectomy common bile duct dilatation: a study from upper hills of Himachal Pradesh, India

Sood¹,

Singh

Chawla³

2020

Int J Res Med Sci

View full text Add to dashboard Cite

Background: Relationship between cholecystectomy followed by postoperative dilatation of the common bile duct is uncertain. Various studies have shown variable results regarding the dilatation of common bile duct after cholecystectomy.Methods: This study was a 1-year prospective study conducted at IGMC, Shimla with consent and ethical approval from the committee. Total 50 cases of symptomatic cholelithiasis belonging to either sex admitted in Surgical Wards of IGMC Shimla for elective surgery were selected for the present study. Cholecystectomy was done in all cases, after doing all the investigations.Results: The mean preoperative CBD diameter in the study group was 4.2mm, 48 hours postoperatively was 5.58mm and at 1-month interval following cholecystectomy was 6.02mm, so the mean postoperative diameter observed was (6.02+5.58=5.8mm).Conclusions: Significant dilatation does occur in CBD which is purely compensatory as there was no evidence of any pathological dilatation. This dilatation occur only in early post-operative period till the CBD adapts to contain bile equal to the Gall Bladder.

show abstract

The Common Duct After Cholecystectomy

Cited by 17 publications

References 7 publications

Association between dietary intake and postlaparoscopic cholecystectomic symptoms in patients with gallbladder disease

Association between dietary intake and postlaparoscopic cholecystectomic symptoms in patients with gallbladder disease

Evaluation of effect of cholecystectomy on common bile duct diameter using ultrasonography and liver function test: a prospective study

Post cholecystectomy common bile duct dilatation: a study from upper hills of Himachal Pradesh, India

Contact Info

Product

Resources

About