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 : 45 | Download : 41

Publication Date : 2023-09-23

Article Type : Research Paper

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 insert ignore into journalissuearticles values(CD);, the level and direction of the junction of the cystic duct with the common hepatic duct insert ignore into journalissuearticles values(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 insert ignore into journalissuearticles values(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 insert ignore into journalissuearticles values(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 insert ignore into journalissuearticles values(p>0.05);.Of 27 insert ignore into journalissuearticles values(15.7%); cases with CD length less than 2 cm, 3insert ignore into journalissuearticles values(11.1%); had only stones, 8 insert ignore into journalissuearticles values(29.6%); had cholecystitis and 16 insert ignore into journalissuearticles values(59.2%); were normal. Of 88 insert ignore into journalissuearticles values(51.2%); cases between 2 and 4 cm, 43 insert ignore into journalissuearticles values(48.8%); had only calculi, 19 insert ignore into journalissuearticles values(21.5%); had cholecystitis with calculi and 26 insert ignore into journalissuearticles values(29.5%); were normal. Of 57 insert ignore into journalissuearticles values(33.1%); patients with cystic duct longer than 4 cm, 31 insert ignore into journalissuearticles values(54.3%); had only stones, 16 insert ignore into journalissuearticles values(28%); had cholecystitis and 10 insert ignore into journalissuearticles values(17.5%); were normal. As CD length increased, the frequency of stone and/or cholecystitis increased insert ignore into journalissuearticles values(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