TY  - JOUR
T1  - MAGNETIC RESONANCE CHOLANGIO PANCREATICOGRAPHY (MRCP) DETECTION OF WHETHER THE JUNCTION OF THE CYSTIC DUCT TO THE COMMON BILE DUCT IS ASSOCIATED WITH THE DEVELOPMENT OF GALLSTONES AND/OR CHOLECYSTITIS
TT  - SİSTİK KANALIN ANA SAFRA KANALINA BİRLEŞME YERİNİN SAFRA TAŞI VE/VEYA KOLESİSTİT GELİŞİMİYLE İLİŞKİLİ OLUP OLMADIĞININ MRKP İLE SAPTANMASI
AU  - Karakaş, Levent
AU  - Ulukent, Suat Can
AU  - Kaya, Mehmet Fatih
AU  - Yıldız, Eren Ozan
AU  - Yünlüel, Emir Mehmet
AU  - Gürkan, Okan
PY  - 2023
DA  - September
Y2  - 2023
DO  - 10.17343/sdutfd.1344758
JF  - Medical Journal of Süleyman Demirel University
JO  - Med J SDU
PB  - Süleyman Demirel University
WT  - DergiPark
SN  - 1300-7416
SP  - 514
EP  - 522
VL  - 30
IS  - 3
LA  - en
AB  - ObjectiveThe development of gallstones and stone-inducedinflammatory processes depends on a number ofbiological factors. Knowledge of the predisposingfactors for both the development of stones and theirinflammation is important in predicting, monitoring,and treating the disease and managing subsequentcomplications. The aim of our study was to determinewhether the length of the cystic duct (CD), the leveland direction of the junction of the cystic duct withthe common hepatic duct (CHD) are associated withcholecystitis and cholelithiasis.Material and MethodThis retrospective study included 172 patientswho underwent MRCP between January 2017 andDecember 2020. A 1.5 Tesla MR device (Signa HDI,General Electric, Milwaukee, WI, USA) was used withan HD 8-channel body array coil. The findings wereanalyzed using SPSS version 23 software.ResultsThe level at which the CD merged with the main CHDwas not significantly correlated with the developmentof calculi and/or cholecystitis (p>0.05). Similarly, therewas no significant correlation between the direction ofthe CD opening into the CHD and the developmentof calculi and/or cholecystitis (p>0.05).Of 27 (15.7%)cases with CD length less than 2 cm, 3(11.1%) hadonly stones, 8 (29.6%) had cholecystitis and 16(59.2%) were normal. Of 88 (51.2%) cases between2 and 4 cm, 43 (48.8%) had only calculi, 19 (21.5%)had cholecystitis with calculi and 26 (29.5%) werenormal. Of 57 (33.1%) patients with cystic duct longerthan 4 cm, 31 (54.3%) had only stones, 16 (28%)had cholecystitis and 10 (17.5%) were normal. AsCD length increased, the frequency of stone and/orcholecystitis increased (p
KW  - Cholecystitis
KW  - cholelithiasis
KW  - MRCP
KW  - cystic duct
N2  - AmaçSafra taşı ve taşın neden olduğu inflamatuar süreçleringelişmesi çok sayıda biyolojik faktöre bağlıdır. Hem taşgelişmesi hem de bunun inflamasyona neden olmasıiçin yatkınlık oluşturan faktörlerin bilinmesi hastalığıöngörmede, takibini yapmada ve tedavisinde ve sonrakikomplikasyonların yönetiminde oldukça önemlidir.Çalışmamızın amacı, sistik kanal (SK) uzunluğunun,sistik kanalın ana hepatik kanal (AHK) ile birleşme yeridüzeyinin ve yönünün, kolesistit ve kolelitiazis ile ilişkisiolup olmadığını saptamaktır.Gereç ve YöntemÇalışmamıza, 2017 ocak ile 2020 aralık tarihleri arasındamanyetik rezonans kolanjiopankteatikografi(MRKP) çekilen 172 hasta retrospektif olarak değerlendirilmeksuretiyle dahil edildi. 1.5 Tesla MR cihazıile (Signa HDI, General Electric, Milwaukee, WI, USA),HD 8 kanallı body array coil kullanılarak çekimler yapıldı.Elde edilen bulgular SPSS Versiyon 23 programıile analiz edildi.BulgularSK’nın ana AHK ile birleştiği düzeyin taş ve/veya kolesistitgelişimiyle anlamlı olarak korelasyon göstermediğisaptandı (p>0.05). Benzer şekilde SK’nın AHK’yaaçıldığı yön ile taş ve/veya kolesistit gelişimi arasındaanlamlı ilişki saptanmadı(p>0,05). SK uzunluğu 2cm’nin altında olan 27 (%15,7) olgunun 3(%11,1)’ündeyalnızca taş, 8 (%29,6)’inde ise kolesistit saptanmışolup 16 (%59,2)’u ise normaldir. 2-4 cm arasında 88(%51,2) olgunun 43(%48,8)’ünde yalnızca taş, 19(%21,5)’unda ise taşlı kolesistit saptanmış olup 26(%29,5) olgu ise normaldir. 4 cm’den daha uzun sistikkanalı olan 57 (%33,1) olgunun 31 (%54,3)’inde yalnızcataş, 16 (%28)’sında ise kolesistit saptanmış olup10 (%17,5)’u ise normaldir. SK uzunluğu arttıkça taşve/veya kolesistit gelişme sıklığı artmaktadır (p
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UR  - https://doi.org/10.17343/sdutfd.1344758
L1  - https://dergipark.org.tr/en/download/article-file/3339440
ER  -