Comparison of the cystocholedochal angle in patients with choledocholithiasis and only cholelithiasis

dc.authorid0000-0003-4969-654X
dc.authorid0000-0002-3521-2711
dc.contributor.authorKaraca Bozdağ, Zekiye
dc.contributor.authorBozdağ, Emre
dc.contributor.authorSönmez, Süleyman
dc.contributor.authorPamukçu Beyhan, Ayça
dc.contributor.authorAtasever, Alper
dc.date.accessioned2023-04-19T09:32:19Z
dc.date.available2023-04-19T09:32:19Z
dc.date.issued2023
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Temel Tıp Bilimleri Bölümü, Anatomi Ana Bilim Dalı
dc.description.abstractThis study aims to evaluate the relation between the cystocholedochal angle (SCA) and choledocholithiasis. The data of 3.350 patients were reviewed retrospectively and a total of 628 patients who met the criteria were included in the study. The patients included in the study were divided into three groups as patients with choledocholithiasis (Group I), patients with only cholelithiasis (Group II), and patients without gallstones as control group (Group III). Measurements of SCA, cystic, bile, and common hepatic ducts (CHDs) were made on magnetic resonance cholangiopancreatography (MRCP) images. Laboratory findings and demographic characteristics of the patients were also recorded. Of the patients included in the study 64.2% were female, 35.8% were male, and their age ranged from 18 to 93 (mean 53.37 +/- 18.87 years). While the mean SCA values of all patient groups were 35.44 degrees +/- 10.44 degrees, the mean length of cystic, bile and CHDs were 28.91 +/- 9.30, 40.28 +/- 12.91, 27.09 +/- 9.68 mm respectively. All measurements were higher in Group I in comparison to other groups, whereas all measurements of Group II were higher than those of Group III (p < 0.001). Statistical analysis suggests that a SCA of 33.5 degrees and above is an important criterion for diagnosis of choledocholithiasis. Increase of SCA raises the likelihood of choledocholithiasis, as it facilitates the passage of stones from gallbladder into the bile ducts. This is the first study to compare SCA in patients with choledocholithiasis and those with only cholelithiasis. Therefore, we think that this study is important and will be a guide for clinical evaluation.
dc.identifier.citationKaraca Bozdağ, Z., Bozdağ, E., Sönmez, S., Pamukçu Beyhan, A. ve Atasever, A. (2023). Comparison of the cystocholedochal angle in patients with choledocholithiasis and only cholelithiasis. Clinical Anatomy, 36(4), 675-686. https://dx.doi.org/10.1002/ca.24027
dc.identifier.doi10.1002/ca.24027
dc.identifier.endpage686
dc.identifier.issn0897-3806
dc.identifier.issn1098-2353
dc.identifier.issue4
dc.identifier.pmid36795311
dc.identifier.scopus2-s2.0-85150237844
dc.identifier.scopusqualityN/A
dc.identifier.startpage675
dc.identifier.urihttps://dx.doi.org/10.1002/ca.24027
dc.identifier.urihttps://hdl.handle.net/20.500.12511/10882
dc.identifier.volume36
dc.identifier.wos000943220000001en_US
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorKaraca Bozdağ, Zekiye
dc.institutionauthorAtasever, Alper
dc.language.isoen
dc.publisherWiley
dc.relation.ispartofClinical Anatomyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectCholedocholithiasis
dc.subjectCystocholedochal Angle
dc.subjectExtrahepatic Bile Ducts
dc.subjectGallbladder
dc.subjectMagnetic Resonance Cholangiopancreatography
dc.titleComparison of the cystocholedochal angle in patients with choledocholithiasis and only cholelithiasis
dc.typeArticle

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