Ectopic opening of common bile duct into duodenal bulb and gastric antrum and its importance
Yükleniyor...
Tarih
2022
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Academy of Medical Sciences of I.R. Iran
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Background: Ectopic opening of the common bile duct (CBD) is extremely rare, and its importance has not been adequately
defined. The aim of our study is to present the characteristics of patients with this abnormality.
Methods: This retrospective study was conducted in a tertiary center in Dicle University Hospital, Diyarbakır, Turkey, between
October 2008 and December 2020. We present clinical, laboratory, endoscopic and cholangiographic features as well as
the success rate of therapeutic interventions of consecutive patients with this abnormality undergoing endoscopic retrograde
cholangiopancreatography (ERCP).
Results: Ectopic opening of the CBD was identified in 29 (21 men; mean age 62) out of 3872 (0.74%) patients. There was a history
of cholecystectomy in 14 (48%) and recurrent acute cholangitis in 20 (69%) patients. We found peptic ulcer in 13 (45%) and
duodenal deformity associated with apical stenosis in 21 (72%) patients. Opening site was seen as abnormal in all patients, and
it opened into the antrum in 2 (6.8%) and into the first part of the duodenum in 27 (93%) patients. Copious amount of bile and/
or bile sediment in the stomach were seen in all patients. We observed dilatation in both intrahepatic and extrahepatic bile ducts
together with tapered narrowing and a hook-shaped distal end of CBD in all patients. There was bile stone in 26 (89%) and sludge
in 3 (10%) patients. Sphincterotomy was not performed in any patients because there was not enough incision distance. Balloon
dilatation was performed for extraction of stone and sludge in all patients. Complete stone extraction was achieved in only 7 out
of 26 (27%) patients.
Conclusion: Ectopic opening of CBD is usually associated with gastroduodenal and bile ducts disease. Endoscopic treatment is
unsatisfactory in most patients with this abnormality.
Açıklama
Anahtar Kelimeler
Cholangitis, Common bile duct, Ectopic opening
Kaynak
Archives of Iranian Medicine
WoS Q Değeri
Q3
Scopus Q Değeri
Q1
Cilt
25
Sayı
10
Künye
Karabulut, Ü., Üzel, A., Yolaçan, R., Uçak, F. ve Kaya, M. (2022). Ectopic opening of common bile duct into duodenal bulb and gastric antrum and its importance. Archives of Iranian Medicine, 25(10), 706-711.
