Longterm followup of common bile duct diameter a

Authors: Shadi Kolahdoozan Rasoul Sotoudehmanesh Morteza Khatibian Ali AliAsgari Shadi Shahraeeni Fatemeh Zeinali

Publish Date: 2011/02/27

Volume: 29, Issue: 1, Pages: 28-31

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Abstract

Patients with CBD dilation due to choledocholithiasis were enrolled CBD diameter was measured by transabdominal ultrasonography before and repeated after one three six and twelve months after endoscopic sphincterotomy and stone extraction until normalization of CBD diameterOf 115 cases enrolled over a 36month period CBD diameter reversed to normal in 71 617 patients after one month Of the remaining 44 patients CBD diameter reversed to normal in 36 patients including 3 in whom repeat ERCP revealed choledocholithiasis at the end of three months CBD diameter had not reversed to normal diameter in 8 182 patients none of these patients had symptoms Two of them had asymptomatic dilated CBD after 6 months with no abnormal liver function tests LFT the duct reversed to normal at the last followup month 12Asymptomatic CBD dilation may persist in a minority of patients 18 at the end of 3 months after removal of CBD stones A dilated CBD can be attributed to retained choledocholithiasis within the first month if it is associated with symptoms and abnormal LFT

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