Commentary
See article on page 741Are dilating bile ducts a cause for concern?
| The first 150 words of the full text of this article appear below. |
Whether the bile duct dilates after cholecystectomy is a hoary
old chestnut dating back to Oddi and hotly debated in the era of
intravenous cholangiography but is still of practical importance now.
In this issue Majeed et al (see page 741)
report a careful, but uncontrolled study from Sheffield examining this
question. Fifty nine patients undergoing cholecystectomy had their
common hepatic duct diameters measured ultrasonographically before and three, six, 12, and 60 months after surgery. Those with ducts of >5 mm
preoperatively were excluded. A slight mean increase was found and more
importantly, perhaps, about 5% of subjects at six months and one year
had ducts greater than the arbitrary cut off limit of 6 mm. At five
years only one of the 48 at risk seemed to maintain the increase in
size. One wonders whether the radiologist's technique and
interpretation at five years were identical to those at the outset.
Furthermore, by
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Relevant Article
- The preoperatively normal bile duct does not dilate after cholecystectomy: results of a five year study
- A W Majeed, B Ross, and A G Johnson
Gut 1999 45: 741-743.[Abstract] [Full Text] [PDF]
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