The relationship between bile reflux and common bile duct diameter after cholecystectomy: a clinical case-control study.

IF 0.5 4区医学 Q4 SURGERY Cirugia Y Cirujanos Pub Date : 2023-01-01 DOI:10.24875/CIRU.22000490

Mustafa Sami-Bostan, Celil Ugurlu, Murat Yildirim, Bulent Koca

{"title":"The relationship between bile reflux and common bile duct diameter after cholecystectomy: a clinical case-control study.","authors":"Mustafa Sami-Bostan, Celil Ugurlu, Murat Yildirim, Bulent Koca","doi":"10.24875/CIRU.22000490","DOIUrl":null,"url":null,"abstract":"Objective: The present study aims to investigate the relationship between bile reflux (BR) and diameter of the common bile duct (CBD) in patients after cholecystectomy.Materials and methods: In our case series analysis, according to the endoscopy results, the patients who underwent cholecystectomy were divided into two groups as those with BR and those non-BR. Age, sex, CBD diameter measured on ultrasonography, computed tomography, magnetic resonance cholangiopancreatography, and endoscopic biopsy results of the patients were statistically analyzed.Results: In a total of 188 patients included in the study, BR was detected in 93 patients, it was not observed in 95 patients. The CBD diameter of the patients was observed to be 7 mm or less in 70.9% (n = 66) in the BR group, and 23% (n = 22) in the non-BR group. The statistical analysis revealed that while there was a significant difference between the two groups in terms of CBD diameter and intestinal metaplasia, the results were similar in both groups in terms of inflammation, activity, atrophy, and Helicobacter pylori.Conclusion: We believe that CBD diameter may be a predictive factor in the detection of BR after cholecystectomy.","PeriodicalId":50990,"journal":{"name":"Cirugia Y Cirujanos","volume":null,"pages":null},"PeriodicalIF":0.5000,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Cirugia Y Cirujanos","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.24875/CIRU.22000490","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"SURGERY","Score":null,"Total":0}

引用次数: 0

Abstract

Objective: The present study aims to investigate the relationship between bile reflux (BR) and diameter of the common bile duct (CBD) in patients after cholecystectomy.

Materials and methods: In our case series analysis, according to the endoscopy results, the patients who underwent cholecystectomy were divided into two groups as those with BR and those non-BR. Age, sex, CBD diameter measured on ultrasonography, computed tomography, magnetic resonance cholangiopancreatography, and endoscopic biopsy results of the patients were statistically analyzed.

Results: In a total of 188 patients included in the study, BR was detected in 93 patients, it was not observed in 95 patients. The CBD diameter of the patients was observed to be 7 mm or less in 70.9% (n = 66) in the BR group, and 23% (n = 22) in the non-BR group. The statistical analysis revealed that while there was a significant difference between the two groups in terms of CBD diameter and intestinal metaplasia, the results were similar in both groups in terms of inflammation, activity, atrophy, and Helicobacter pylori.

Conclusion: We believe that CBD diameter may be a predictive factor in the detection of BR after cholecystectomy.

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

胆囊切除术后胆汁反流与胆总管直径的关系:一项临床病例对照研究

目的:探讨胆囊切除术后患者胆汁反流(BR)与胆总管(CBD)直径的关系。材料与方法:在我们的病例系列分析中，根据内镜检查结果，将行胆囊切除术的患者分为有BR组和无BR组。对患者的年龄、性别、超声、ct、磁共振胰胆管造影及内镜活检结果进行统计分析。结果:纳入研究的188例患者中，93例患者检测到BR, 95例患者未观察到BR。BR组中70.9% (n = 66)患者的CBD直径小于或等于7mm，非BR组中23% (n = 22)患者的CBD直径小于或等于7mm。统计分析显示，两组在CBD直径和肠化生方面存在显著差异，但在炎症、活动性、萎缩和幽门螺杆菌方面结果相似。结论:我们认为CBD直径可能是胆囊切除术后BR检测的预测因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

Cirugia Y Cirujanos 医学-外科

CiteScore

0.90

自引率

20.00%

发文量

207

审稿时长

6-12 weeks

期刊介绍： Cirugía y Cirujanoses exponente del desarrollo académico, científico, médico, quirúrgico y tecnológico en materia de salud en México y en el ámbito internacional. Es una revista bimestral, open access, revisada por pares, que publica en español y en inglés (traducido sin coste para los autores) artículos científicos originales, casos clínicos, artículos de revisión de interés general y cartas al editor. Los artículos se seleccionan y publican siguiendo un riguroso análisis, de acuerdo con los estándares internacionalmente aceptados. Sus espacios están abiertos a los académicos, así como a todo miembro de la comunidad médica que manifieste interés por utilizar este foro para publicar sus trabajos.