Dynamic Changes of Echogenicity and the Size of the Papilla of Vater before and after Cholecystectomy

Skalicky, Marjan

doi:10.1177/147323001103900340

Cited by 5 publications

(5 citation statements)

References 46 publications

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“…Ampulla was considered enlarged if it measured more than 10 mm 8 but actual SPV was calculated as suggested by Skalicky 9. The SPV above 25 mm 2 was considered abnormal.…”

Section: Methodsmentioning

confidence: 99%

Pancreato-biliary endoscopic ultrasound in opium addicts presenting with abdominal pain

et al. 2013

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Objective:Asymptomatic dilatation of bile duct and symptomatic sphincter of Oddi dysfunction have been reported in opium addicts. Except one case report, there is no report in the literature on endoscopic ultrasound (EUS) study of pancreato-biliary system in opium addicts. The aim of the present study was to report the EUS features of pancreato-biliary system in opium addicts presenting with abdominal pain.Patients and Methods:A total of 15 opium addicts presenting with upper abdominal pain and dilated common bile duct (CBD) and or pancreatic duct (PD) on abdominal ultrasound were included in this study. EUS findings of pancreato-biliary system were analyzed in these patients.Results:All the 15 patients were males (mean age 53.3 years) presented with upper abdominal pain. Mean duration of opium addiction was 20.1 years. On EUS CBD was dilated in all the patients while PD was dilated in six patients. Gall bladder, liver and pancreatic parenchyma was normal in all these patients. Surface area of papilla of Vater (SPV) was increased in 12 patients.Conclusion:Opium addiction causes obstruction at ampulla and produces dilatation of bile duct and PD. Bile duct dilatation was seen in all the patients while PD dilatation was seen in few patients. Increase in SPV was a peculiar finding and appears to be as a result of direct effect of opium on ampulla.

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“…Ampulla was considered enlarged if it measured more than 10 mm 8 but actual SPV was calculated as suggested by Skalicky 9. The SPV above 25 mm 2 was considered abnormal.…”

Section: Methodsmentioning

confidence: 99%

Pancreato-biliary endoscopic ultrasound in opium addicts presenting with abdominal pain

et al. 2013

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“…This is why the dynamic changes in this area are subject to inexplainable behaviour patterns when observing cholecystectomized patients; i.e on ultrasound, significant differences occur in the biliary or duodenal component of the PV, as demonstrated in the present study and in the companion paper published in the same issue of this journal. 40 Considering that, statistically, the same significant changes were observed in both the papillary choledochoampullary segments (hPV and SOK) and in symptomatic and asymptomatic cholecystectomized patients, the PCS explanation of the type III Milwaukee classification remains open and speculative. Moreover, the use of acupuncture in energetic functioning of various organs like the PV and SOK is still relatively unknown.…”

Section: Skalicky Impact Of Cholecystectomy On the Papilla Of Vatermentioning

confidence: 99%

“…35 -39 A companion paper in the same issue of this journal presents the PV echogenicity data for the same group of cholecystectomized patients. 40 …”

Section: Skalickymentioning

confidence: 99%

The Size of the Papilla of Vater and Its Relation to Its Height in Comparison with the Visibility of the Sphincter of Oddi before and after Cholecystectomy

Skalicky

2011

J Int Med Res

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This study investigated the changes in the surface area and height of the papilla of Vater (PV) and the visibility of the sphincter of Oddi complex (SOK) using endoscopic ultrasound (EUS) examinations of 80 patients with symptomatic gallstones before and at 3 and 6 months after cholecystectomy. Following surgery, 50 patients experienced early atypical symptoms characteristic of postcholecystectomy syndrome (PCS) and 30 patients were asymptomatic. The PV measurements were greater in all patients compared with normal reference values and increased significantly from before surgery to 3 months postsurgery. At 6 months postsurgery, both the surface area and height of the PV had significantly decreased to preoperative values but remained higher than normal. The proportion of patients with a visible SOK had increased by 3 months postsurgery but had reduced again by 6 months. There were no significant differences between symptomatic and asymptomatic patients, suggesting that the changes observed in the PV and SOK do not explain the presence of the atypical symptoms of PCS.

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“…The first three years have a predominance of gastric causes, while biliary pathologies are mainly seen beyond the 3-year mark. Skalicky et al agreed with this temporal pattern but extended the time period from three, to 5 years, post cholecystectomy (12).…”

Section: Discussionmentioning

confidence: 84%

Post-cholecystectomy syndrome: a retrospective study analysing the associated demographics, aetiology, and healthcare utilization

Saleem¹,

Weissman²,

González³

et al. 2021

Transl Gastroenterol Hepatol

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Background: Post-cholecystectomy syndrome (PCS) is a group of heterogeneous signs and symptoms, predominately consisting of right upper quadrant abdominal pain, dyspepsia, and/or jaundice, manifesting after undergoing a cholecystectomy. According to some studies, as many as 40% of post-cholecystectomy patients are in fact, affected by this syndrome. This study aims to determine the demographics, aetiology, average length of hospital stay, and health care burden associated with PCS.Methods: We queried the National Inpatient Sample (NIS) database to determine inpatient admissions of post-cholecystectomy syndrome between 2011 and 2014 using the ICD-9 primary diagnosis code 576.0.

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Dynamic Changes of Echogenicity and the Size of the Papilla of Vater before and after Cholecystectomy

Cited by 5 publications

References 46 publications

Pancreato-biliary endoscopic ultrasound in opium addicts presenting with abdominal pain

Pancreato-biliary endoscopic ultrasound in opium addicts presenting with abdominal pain

The Size of the Papilla of Vater and Its Relation to Its Height in Comparison with the Visibility of the Sphincter of Oddi before and after Cholecystectomy

Post-cholecystectomy syndrome: a retrospective study analysing the associated demographics, aetiology, and healthcare utilization

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