Post-Cholecystectomy Biliary Dilatation

MUHAMMAD ALAM; SIDDIQUE AHMAD; ALI GOHAR KHAN; SHEEMA AMIN; RIZMI TAHIR

doi:10.53350/pjmhs2023172249

Author(s)

MUHAMMAD ALAM Surgical “C” Unit, Hayatabad Medical Complex, Peshawar, Pakistan

SIDDIQUE AHMAD Department of General Surgery, Hayatabad Medical Complex, Peshawar, Pakistan

ALI GOHAR KHAN Department of General Surgery, Fauji Foundation Hospital, Peshawar, Pakistan

SHEEMA AMIN Surgical “C” Unit, Hayatabad Medical Complex, Peshawar, Pakistan

RIZMI TAHIR Surgical “C” Unit, Hayatabad Medical Complex, Peshawar, Pakistan

Abstract

Introduction: Despite the fact that the common bile duct (CBD) is thought to dilate following surgery, post-cholecystectomy CBD dilatation still remains a source of debate. Intravenous cholangiography made it possible to measure the common duct directly. Although most patients did not have a substantial increase in duct diameter following cholecystectomy, there was a trend toward a modest degree of duct dilatation, according to prospective studies employing sonography to assess the common duct. Objective: To determine the frequency of common bile duct dilatation after cholecystectomy for chronic cholecystitis. Study Design: Descriptive study Place and Duration of Study: General Surgery Department, Hayatabad Medical Complex, Peshawar from 1st February 2020 to 31st January 2021. Methodology: Eighty seven patients and age range is 20-60 years booked for cholecystectomy in outpatient department were included and followed up to 6 month to determine the frequency of common bile duct dilatation. Results: The mean age was 38.6±10.3 years with 25 (28.7%) males and 62 (71.2%) females. Mean body mass index of the sample was 25±2.3kg/m2. Sixty (68.9%) underwent laparoscopic cholecystectomy while 17 (19.5%) underwent open cholecystectomy. Mean baseline common bile duct diameter on ultrasound was 1.3±0.1 mm while the mean follow up common bile duct diameter was 1.8±0.2 mm (p<0.001). Common bile duct dilatation was recorded in 20 (22.98%) patients. Conclusion: Common bile duct dilatation after cholecystectomy is controversial, but in asymptomatic patients, a dilation of up to 10mm should be accepted as normal.

Publication Details

Page(s) 249-250

DOI 10.53350/pjmhs2023172249

Published Journal: Pakistan Journal of Medical and Health Sciences, Volume: 17, Issue: 2, Year: 2023

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Keywords

Body Mass Index, Cholecystitis, Cholecystectomy, Common bile duct dilatation