Correlation of CBD/CHD angulation with recurrent cholangitis in patients treated with ERCP

Endoscopy International Open
Charing Cn ChongJames Yw Lau

Abstract

Endoscopic retrograde cholangiopancreatography (ERCP) with endoscopic sphincterotomy (EST) for bile duct stone extraction has a major role in the treatment of cholangitis. It is well known that certain risk factors predispose to recurrence of such stones. The aims of this study were to evaluate the correlation between angulation of the common bile duct (CBD), right hepatic duct (RHD), and left hepatic duct (LHD) with recurrent cholangitic attacks and to elucidate other risk factors that may be associated with these attacks. This is retrospective study included 62 patients who had undergone therapeutic endoscopic retrograde cholangiopancreatography (ERCP) for bile duct stones. Their medical records were followed until May 1, 2009. The RHD, LHD, and CBD angulation and CBD diameter were measured on cholangiography prior to any endoscopic procedures. Among these 62 patients, 6 (9.7 %) had recurrence of cholangitis. Both angles of the RHD and the CBD were significantly smaller in the group with recurrence (P = 0.001, P = 0.004). A CBD angle ≤ 130(o) and RHD angle ≤ 125(o) were found to be significantly associated with an increased risk of recurrence (RR = 10.526, P = 0.033; RR = 24.97, P = 0.008) in multivariate analysis. Cholecyste...Continue Reading

Citations

Sep 29, 2019·Journal of Hepato-biliary-pancreatic Sciences·Sun Young ParkSung Geun Kim
Oct 27, 2020·The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi·Seongyul RyuWoo Chul Chung

❮ Previous
Next ❯

Methods Mentioned

BETA
biopsy

Software Mentioned

PTC ProDESKTOP

Related Concepts

Related Feeds

Anxiety Disorders

Discover the latest research on anxiety disorders including agoraphobia, panic disorder, obsessive-compulsive disorder, and post-traumatic stress disorder here.