A One Year Prospective Study on Common Bile Duct Dilatation after Open Cholecystectomy Done At DMCH.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 9
Abstract
Purpose: Bile duct dilatation after open cholecystectomy continues to be a matter of controversy. We aimed determine the magnitude of common bile duct (CBD) dilatation after open cholecystectomy followed up to 1 year. Methods: Sixty-four cases (age, 47.3 ± 11.7 years; men, 28; women, 36) enrolled in this study. They received open cholecystectomy in Upgraded Department of Surgery, Darbhanga Medical College & Hospital, Laheriasarai, Bihar for symptomatic cholelithiasis or gallbladder polyps with normal bile duct, less than 7 mm. The CBD diameter was measured by one radiologist using ultrasonography at the maximum point after full length evaluation of extrahepatic bile duct. Forty-five and thirty-one cases were followed at 6 months and 1 year, respectively. Results: The CBD was dilated slightly from 4.1 mm at baseline to 5.1 mm at 6 months and 6.1 mm at 12 months after open cholecystectomy. The number of cases of CBD dilatation of more than 7 mm at 6 months and at 12 months after cholecystectomy were 11 (24.4%) and 9 (29.0%), respectively. Seven cases at 6 months and 5 cases at 12 months showed bile duct dilation of more than 3 mm compared to baseline. There were no cases having bile duct dilation of more than 10 mm. Conclusion: Postcholecystectomy dilatation of the bile duct occurred slightly in most cases. But some cases showed more than 3 mm dilatation over baseline. Asymptomatic bile duct dilatation of up to 10 mm can be considered as normal range in patients after open cholecystectomy.
Authors and Affiliations
Dr Manoj Kumar Gupta, Dr V. S. Prasad, Dr Rajeev Ranjan
Keywords
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- EP ID EP395374
- DOI 10.9790/0853-1709051822.
- Views 77
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