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

Levent Karakaş; Suat Can Ulukent; Mehmet Fatih Kaya; Eren Ozan Yıldız; Emir Mehmet Yünlüel; Okan Gürkan

Makale detayları

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

Yazarlar:

Levent Karakaş | Suat Can Ulukent | Mehmet Fatih Kaya | Eren Ozan Yıldız | Emir Mehmet Yünlüel | Okan Gürkan

Yayıncı:

Süleyman Demirel University

Ana Başlıklar:

Radiology and Organ Imaging

Dergi:

Medical Journal of Süleyman Demirel University Vol.30 Issue 3, pp.514-522

Belge Tipi:

Makale

Yayın Tarihi:

9/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001299123

pISSN:

1300-7416

Anahtar kelimeler:

Özet:

 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 andor cholecystitis p0.05. Similarly, there was no significant correlation between the direction of the CD opening into the CHD and the development of calculi andor cholecystitis p0.05.Of 27 15.7 cases with CD length less than 2 cm, 311.1 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 andor cholecystitis increased p0.05. Conclusion The direction and level of CD involvement in CHD does not predispose to the development of stones andor cholecystitis, whereas an increase in its length predisposes to the development of stones andor cholecystitis.

 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 andor cholecystitis p0.05. Similarly, there was no significant correlation between the direction of the CD opening into the CHD and the development of calculi andor cholecystitis p0.05.Of 27 15.7 cases with CD length less than 2 cm, 311.1 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 andor cholecystitis increased p0.05. Conclusion The direction and level of CD involvement in CHD does not predispose to the development of stones andor cholecystitis, whereas an increase in its length predisposes to the development of stones andor cholecystitis.

 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 andor cholecystitis p0.05. Similarly, there was no significant correlation between the direction of the CD opening into the CHD and the development of calculi andor cholecystitis p0.05.Of 27 15.7 cases with CD length less than 2 cm, 311.1 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 andor cholecystitis increased p0.05. Conclusion The direction and level of CD involvement in CHD does not predispose to the development of stones andor cholecystitis, whereas an increase in its length predisposes to the development of stones andor cholecystitis.

 Amaç Safra taşı ve taşın neden olduğu inflamatuar süreçlerin gelişmesi çok sayıda biyolojik faktöre bağlıdır. Hem taş gelişmesi hem de bunun inflamasyona neden olması için yatkınlık oluşturan faktörlerin bilinmesi hastalığı öngörmede, takibini yapmada ve tedavisinde ve sonraki komplikasyonların yönetiminde oldukça önemlidir. Çalışmamızın amacı, sistik kanal SK uzunluğunun, sistik kanalın ana hepatik kanal AHK ile birleşme yeri düzeyinin ve yönünün, kolesistit ve kolelitiazis ile ilişkisi olup olmadığını saptamaktır. Gereç ve Yöntem Çalışmamıza, 2017 ocak ile 2020 aralık tarihleri arasında manyetik rezonans kolanjiopankteatikografi MRKP çekilen 172 hasta retrospektif olarak değerlendirilmek suretiyle dahil edildi. 1.5 Tesla MR cihazı ile Signa HDI, General Electric, Milwaukee, WI, USA, HD 8 kanallı body array coil kullanılarak çekimler yapıldı. Elde edilen bulgular SPSS Versiyon 23 programı ile analiz edildi. Bulgular SKnın ana AHK ile birleştiği düzeyin taş veveya kolesistit gelişimiyle anlamlı olarak korelasyon göstermediği saptandı p0.05. Benzer şekilde SKnın AHKya açıldığı yön ile taş veveya kolesistit gelişimi arasında anlamlı ilişki saptanmadıp0,05. SK uzunluğu 2 cmnin altında olan 27 15,7 olgunun 311,1ünde yalnızca taş, 8 29,6inde ise kolesistit saptanmış olup 16 59,2u ise normaldir. 2-4 cm arasında 88 51,2 olgunun 4348,8ünde yalnızca taş, 19 21,5unda ise taşlı kolesistit saptanmış olup 26 29,5 olgu ise normaldir. 4 cmden daha uzun sistik kanalı olan 57 33,1 olgunun 31 54,3inde yalnızca taş, 16 28sında ise kolesistit saptanmış olup 10 17,5u ise normaldir. SK uzunluğu arttıkça taş veveya kolesistit gelişme sıklığı artmaktadır p0,05. Sonuç SKnın AHKya açıldığı yön ve seviye taş veveya kolesistit gelişimine yatkınlık oluşturmazken, uzunluğundaki artış ise taş veveya kolesistit gelişimine yatkınlığı arttırmaktadır.

Makale detayları

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

Yazarlar:

Levent Karakaş | Suat Can Ulukent | Mehmet Fatih Kaya | Eren Ozan Yıldız | Emir Mehmet Yünlüel | Okan Gürkan

Yayıncı:

Süleyman Demirel University

Ana Başlıklar:

Radiology and Organ Imaging

Dergi:

Medical Journal of Süleyman Demirel University Vol.30 Issue 3, pp.514-522

Belge Tipi:

Makale

Yayın Tarihi:

9/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001299123

pISSN:

1300-7416

Cholecystitis

cholelithiasis

MRCP

cystic ductKolesistit

kolelitiazis

MRCP

sistik kanal

Sayı

Makale detayları

Yazarlar: Levent Karakaş | Suat Can Ulukent | Mehmet Fatih Kaya | Eren Ozan Yıldız | Emir Mehmet Yünlüel | Okan Gürkan

Yayıncı: Süleyman Demirel University

Ana Başlıklar: Radiology and Organ Imaging

Dergi: Medical Journal of Süleyman Demirel University Vol.30 Issue 3, pp.514-522

Belge Tipi: Makale

Yayın Tarihi: 9/2023

Belge Dili: İngilizce

Document ID (Org No.): 2001299123

pISSN: 1300-7416

Sayı

Yazarlar:

Levent Karakaş | Suat Can Ulukent | Mehmet Fatih Kaya | Eren Ozan Yıldız | Emir Mehmet Yünlüel | Okan Gürkan

Yayıncı:

Süleyman Demirel University

Ana Başlıklar:

Radiology and Organ Imaging

Dergi:

Medical Journal of Süleyman Demirel University Vol.30 Issue 3, pp.514-522

Belge Tipi:

Makale

Yayın Tarihi:

9/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001299123

pISSN:

1300-7416