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- MAGNETIC RESONANCE CHOLANGIO PANCREATICOGRAPHY (MRCP) DETECTION OF WHETHER THE JUNCTION OF THE CYSTI...
MAGNETIC RESONANCE CHOLANGIO PANCREATICOGRAPHY (MRCP) DETECTION OF WHETHER THE JUNCTION OF THE CYSTIC DUCT TO THE COMMON BILE DUCT IS ASSOCIATED WITH THE DEVELOPMENT OF GALLSTONES AND/OR CHOLECYSTITIS
Authors : Levent Karakaş, Suat Can Ulukent, Mehmet Fatih Kaya, Eren Ozan Yildiz, Emir Mehmet Yünlüel, Okan Gürkan
Pages : 514-522
Doi:10.17343/sdutfd.1344758
View : 30 | Download : 34
Publication Date : 2023-09-23
Article Type : Research
Abstract :Objective The development of gallstones and stone-induced inflammatory processes depends on a number of biological factors. Knowledge of the predisposing factors for both the development of stones and their inflammation is important in predicting, monitoring, and treating the disease and managing subsequent complications. The aim of our study was to determine whether the length of the cystic duct (CD), the level and direction of the junction of the cystic duct with the common hepatic duct (CHD) are associated with cholecystitis and cholelithiasis. Material and Method This retrospective study included 172 patients who underwent MRCP between January 2017 and December 2020. A 1.5 Tesla MR device (Signa HDI, General Electric, Milwaukee, WI, USA) was used with an HD 8-channel body array coil. The findings were analyzed using SPSS version 23 software. Results The level at which the CD merged with the main CHD was not significantly correlated with the development of calculi and/or cholecystitis (p>0.05). Similarly, there was no significant correlation between the direction of the CD opening into the CHD and the development of calculi and/or cholecystitis (p>0.05).Of 27 (15.7%) cases with CD length less than 2 cm, 3(11.1%) had only stones, 8 (29.6%) had cholecystitis and 16 (59.2%) were normal. Of 88 (51.2%) cases between 2 and 4 cm, 43 (48.8%) had only calculi, 19 (21.5%) had cholecystitis with calculi and 26 (29.5%) were normal. Of 57 (33.1%) patients with cystic duct longer than 4 cm, 31 (54.3%) had only stones, 16 (28%) had cholecystitis and 10 (17.5%) were normal. As CD length increased, the frequency of stone and/or cholecystitis increased (p<0.05). Conclusion The direction and level of CD involvement in CHD does not predispose to the development of stones and/or cholecystitis, whereas an increase in its length predisposes to the development of stones and/or cholecystitis.Keywords : Kolesistit, kolelitiazis, MRCP, sistik kanal