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Right posteroinferior bile duct angulation correlates with bile duct stone occurrence in patients with hepatolithiasis

  • Hepatobiliary
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Abdominal Radiology Aims and scope Submit manuscript

Abstract

Purpose

This study aimed to examine the correlation between right posteroinferior bile duct (RPBD) angulation and the occurrence of bile duct stones in patients with hepatolithiasis.

Methods

Patients presenting with hepatolithiasis in our hospital from January 2011 to July 2016 were divided into two groups according to whether their RPBD was affected by stones. A statistical analysis for the relevant factors associated with bile duct stone formation in the RPBD was performed.

Results

The binary logistic regression results showed that stenosis of the right hepatic duct [odds ratio (OR): 7.313; 95% confidence interval (CI) 4.131–12.945)] and the angle of the RPBD (OR 0.896; 95%CI 0.877–0.916) were risk factors associated with the formation of RPBD stones. Further, the receiver operating characteristic curve indicated that, when the angle of the RPBD was less than 44.58°, stones were able to form more easily in the RPBD.

Conclusion

The occurrence of bile duct stones is well correlated with sharp bile duct angulation.

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Funding

This study was supported by Foundation of Southwest Hospital (SWH2016JSTSYB-19).

Author information

Author notes

  1. Guangyu Chen, Jun Wu, Le Xiao, and Yi Wen have contributed equally to this work.

Authors and Affiliations

  1. Hepatobiliary Surgery Institute, Southwest Hospital, Army Medical University, No. 29 Gaotanyan Street, Shapingba District, Chongqing, China

    Guangyu Chen, Le Xiao, Yi Wen & Shuguang Wang

  2. The General Hospital of Western Theater Command, Chengdu, China

    Guangyu Chen, Jun Wu, Le Xiao & Yi Wen

  3. College of Medicine, Southwest Jiaotong University, Chengdu, China

    Jun Wu

  4. Department of Hepatic Surgery, Eastern Hepatobiliary Surgery Hospital, Second Military Medical University, Shanghai, China

    Tian Yang

Authors
  1. Guangyu Chen
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  2. Jun Wu
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  3. Le Xiao
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  4. Yi Wen
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  5. Tian Yang
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  6. Shuguang Wang
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Corresponding authors

Correspondence to Tian Yang or Shuguang Wang.

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Guangyu Chen and other co-authors have no conflicts of interest.

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Chen, G., Wu, J., Xiao, L. et al. Right posteroinferior bile duct angulation correlates with bile duct stone occurrence in patients with hepatolithiasis. Abdom Radiol 45, 3103–3108 (2020). https://doi.org/10.1007/s00261-020-02444-3

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  • DOI: https://doi.org/10.1007/s00261-020-02444-3

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