Ectopic opening of common bile duct into duodenal bulb and gastric antrum and its importance

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dc.authorid0000-0002-2677-3971en_US
dc.authorid0000-0003-3126-2129en_US
dc.contributor.authorKarabulut, Ümit
dc.contributor.authorÜzel, Ali
dc.contributor.authorYolaçan, Ramazan
dc.contributor.authorUçmak, Feyzullah
dc.contributor.authorKaya, Muhsin
dc.date.accessioned2023-09-21T12:51:05Z
dc.date.available2023-09-21T12:51:05Z
dc.date.issued2022en_US
dc.departmentDicle Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, İç Hastalıklar Ana Bilim Dalıen_US
dc.description.abstractBackground: 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.en_US
dc.identifier.citationKarabulut, 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.en_US
dc.identifier.doi10.34172/aim.2022.110
dc.identifier.endpage711en_US
dc.identifier.issn1029-2977
dc.identifier.issue10en_US
dc.identifier.pmid37542403
dc.identifier.scopus2-s2.0-85146901840
dc.identifier.scopusqualityQ1
dc.identifier.startpage706en_US
dc.identifier.urihttp://journalaim.com/Article/aim-22696
dc.identifier.urihttps://hdl.handle.net/11468/12578
dc.identifier.volume25en_US
dc.identifier.wosWOS:000906504700006
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorKarabulut, Ümit
dc.institutionauthorÜzel, Ali
dc.institutionauthorYolaçan, Ramazan
dc.institutionauthorUçmak, Feyzullah
dc.institutionauthorKaya, Muhsin
dc.language.isoenen_US
dc.publisherAcademy of Medical Sciences of I.R. Iranen_US
dc.relation.ispartofArchives of Iranian Medicine
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectCholangitisen_US
dc.subjectCommon bile ducten_US
dc.subjectEctopic openingen_US
dc.titleEctopic opening of common bile duct into duodenal bulb and gastric antrum and its importanceen_US
dc.titleEctopic opening of common bile duct into duodenal bulb and gastric antrum and its importance
dc.typeArticleen_US

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