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