CT evaluation of common duct dilation after cholecystectomy and with advancing age

Verfasser / Beitragende:
[Tatum McArthur, Virginia Planz, Naomi Fineberg, Lincoln Berland, Mark Lockhart]
Ort, Verlag, Jahr:
2015
Enthalten in:
Abdominal Imaging, 40/6(2015-08-01), 1581-1586
Format:
Artikel (online)
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024 7 0 |a 10.1007/s00261-014-0308-5  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00261-014-0308-5 
245 0 0 |a CT evaluation of common duct dilation after cholecystectomy and with advancing age  |h [Elektronische Daten]  |c [Tatum McArthur, Virginia Planz, Naomi Fineberg, Lincoln Berland, Mark Lockhart] 
520 3 |a Purpose: To evaluate common duct (CD) dilation by computed tomography (CT) in patients with intact gallbladders and diameter change over time in remote and interval cholecystectomy patients, frequency of visualization of the CD, and its relationship to age. Methods: This IRB-approved retrospective study evaluated baseline CD diameter, intrahepatic biliary dilation, and interval duct diameter change in patients with CTs≥2years apart (n=324), in block-randomized order by two blinded board-certified radiologists. 272 patients were divided into three groups: (1) prior cholecystectomy before the first CT, (2) cholecystectomy between the first and last CTs, and (3) no cholecystectomy. A subset of 191 nonoperated patients was evaluated for age-related dilation. Results: Group 1 ducts were significantly larger than the other groups at both baseline and follow-up CTs (p<0.001). Group 2 showed a greater increase in duct size than the other groups at follow-up (p<0.001). The CD was measurable in 89% of the CT studies. In nonoperated patients, there was a statistically significant correlation between CD size and increasing age (p<0.001), although the CD size remained within normal size limits. Conclusion: Remote cholecystectomy patients have larger CD diameters than the nonoperated and interval cholecystectomy groups. Greater increase in ductal diameter occurred between studies in the interval cholecystectomy patients, suggesting that dilation occurs after cholecystectomy. Also, the CD dilates slightly with age in nonoperated patients. 
540 |a Springer Science+Business Media New York, 2014 
690 7 |a Common duct  |2 nationallicence 
690 7 |a CT  |2 nationallicence 
690 7 |a Cholecystectomy  |2 nationallicence 
690 7 |a Common duct diameter  |2 nationallicence 
700 1 |a McArthur  |D Tatum  |u Department of Diagnostic Radiology, The University of Alabama at Birmingham, 619 19th Street South, JTN 342, 35249-6830, Birmingham, AL, USA  |4 aut 
700 1 |a Planz  |D Virginia  |u Department of Radiology, Wake Forest Baptist Medical Center, 1 Medical Center Boulevard, 27157-1088, Winston-Salem, NC, USA  |4 aut 
700 1 |a Fineberg  |D Naomi  |u Department of Biostatistics, School of Public Health, The University of Alabama at Birmingham, 327D Ryals Public Health Building, 35249-0022, Birmingham, AL, USA  |4 aut 
700 1 |a Berland  |D Lincoln  |u Department of Diagnostic Radiology, The University of Alabama at Birmingham, 619 19th Street South, JTN 454, 35249-6830, Birmingham, AL, USA  |4 aut 
700 1 |a Lockhart  |D Mark  |u Department of Diagnostic Radiology, The University of Alabama at Birmingham, 619 19th Street South, JTN 344, 35249-6830, Birmingham, AL, USA  |4 aut 
773 0 |t Abdominal Imaging  |d Springer US; http://www.springer-ny.com  |g 40/6(2015-08-01), 1581-1586  |x 0942-8925  |q 40:6<1581  |1 2015  |2 40  |o 261 
856 4 0 |u https://doi.org/10.1007/s00261-014-0308-5  |q text/html  |z Onlinezugriff via DOI 
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900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
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950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00261-014-0308-5  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a McArthur  |D Tatum  |u Department of Diagnostic Radiology, The University of Alabama at Birmingham, 619 19th Street South, JTN 342, 35249-6830, Birmingham, AL, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Planz  |D Virginia  |u Department of Radiology, Wake Forest Baptist Medical Center, 1 Medical Center Boulevard, 27157-1088, Winston-Salem, NC, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Fineberg  |D Naomi  |u Department of Biostatistics, School of Public Health, The University of Alabama at Birmingham, 327D Ryals Public Health Building, 35249-0022, Birmingham, AL, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Berland  |D Lincoln  |u Department of Diagnostic Radiology, The University of Alabama at Birmingham, 619 19th Street South, JTN 454, 35249-6830, Birmingham, AL, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Lockhart  |D Mark  |u Department of Diagnostic Radiology, The University of Alabama at Birmingham, 619 19th Street South, JTN 344, 35249-6830, Birmingham, AL, USA  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Abdominal Imaging  |d Springer US; http://www.springer-ny.com  |g 40/6(2015-08-01), 1581-1586  |x 0942-8925  |q 40:6<1581  |1 2015  |2 40  |o 261