SİSTİK KANALIN ANA SAFRA KANALINA BİRLEŞME YERİNİN SAFRA TAŞI VE/VEYA KOLESİSTİT GELİŞİMİYLE İLİŞKİLİ OLUP OLMADIĞININ MRKP İLE SAPTANMASI

Abstract

Objective The development of gallstones and stone-induced inflammatory processes depends on a number of biological factors. Knowledge of the predisposing factors for both the development of stones and their inflammation is important in predicting, monitoring, and treating the disease and managing subsequent complications. The aim of our study was to determine whether the length of the cystic duct (CD), the level and direction of the junction of the cystic duct with the common hepatic duct (CHD) are associated with cholecystitis and cholelithiasis. Material and Method This retrospective study included 172 patients who underwent MRCP between January 2017 and December 2020. A 1.5 Tesla MR device (Signa HDI, General Electric, Milwaukee, WI, USA) was used with an HD 8-channel body array coil. The findings were analyzed using SPSS version 23 software. Results The level at which the CD merged with the main CHD was not significantly correlated with the development of calculi and/or cholecystitis (p>0.05). Similarly, there was no significant correlation between the direction of the CD opening into the CHD and the development of calculi and/or cholecystitis (p>0.05).Of 27 (15.7%) cases with CD length less than 2 cm, 3(11.1%) had only stones, 8 (29.6%) had cholecystitis and 16 (59.2%) were normal. Of 88 (51.2%) cases between 2 and 4 cm, 43 (48.8%) had only calculi, 19 (21.5%) had cholecystitis with calculi and 26 (29.5%) were normal. Of 57 (33.1%) patients with cystic duct longer than 4 cm, 31 (54.3%) had only stones, 16 (28%) had cholecystitis and 10 (17.5%) were normal. As CD length increased, the frequency of stone and/or cholecystitis increased (p