Retrospective analysis of cases with an ectopic opening
of the common bile duct into duodenal bulb

Taş, Adnan; Kara, Banu; Ölmez, Şehmus; Yalçın, Mehmet Suat; Öztürk, Nevin Akçaer; Sarıtaş, Bünyamin

doi:10.17219/acem/69691

Cited by 9 publications

(20 citation statements)

References 12 publications

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“…Biliary colic pain is the most common presenting symptom in ectopic common bile duct openings and this symptom is present in 95-100% of the patients during presentation (1,8) . In a study by A. Taş et al, presenting symptoms were determined to be biliary colic (100%), cholangitis (60%), acute renal failure (10%), previous bleeding (20%), and liver abscess (20%) (5) . The presenting symptoms in our series were abdominal pain (50%) and biliary colic (25%).…”

Section: Discussionmentioning

confidence: 99%

“…In many series in the literature, it has been stated that the ectopic opening was localized mostly in the bulbus part of the duodenum (2,3,5,13) . In 75% of the cases in our series common biler duct opened in bulbus and in 25% of the case post-bulbar opening was detected .…”

Section: Gis: Gastrointestinalsystemmentioning

confidence: 99%

“…Biliary system pathologies are frequently reported in patients with ectopic choledochal opening (1,2,5,8) . In their series, Taş et al found common bile duct dilation in all of their patients.…”

Section: Gis: Gastrointestinalsystemmentioning

confidence: 99%

“…Easy passage of duodenal content into the biliary tract (duodenobiliary reflux) and reflux of the bile to the duodenum without sphincteric control can cause biliary tract diseases, duodenal ulcer and ulcer complications (1,2,5) . Diseases of duodenal mucosa (ulcers and deformation/stenosis) and biliary system diseases are closely related to the location and morphology of the ectopic opening (1,2,5,8) . In our series, 62.5% of the patients had duodenal ulcer and 2 patients had a history of duodenal ulcer surgery.…”

Section: Gis: Gastrointestinalsystemmentioning

confidence: 99%

“…Anatomic anomalies related to the opening of the common bile duct into the gastrointestinal tract have been further diagnosed through the widespread use of Endoscopic Retrograde Cholangiopancreatography (ERCP). The etiology of anomalous opening of the common bile duct is unknown and considered to be the result of an error during embryonic development of the biliary system (5) .…”

Section: Introductionmentioning

confidence: 99%

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Our Surgical Experience in Choledoch Opening Anomalies

Sarıtaş¹,

Ülkü²,

Topal³

et al. 2020

BMJ

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Objective: The treatment of anomalous opening of the common bile duct opening is performed by endoscopic or surgical methods. In addition to endoscopic procedures, indications of surgical treatment, surgical procedures and complications related to these methods are aimed to be presented in the light of the literature. Method: Patients who underwent surgical treatment for anomalous opening of the common bile duct between November 2014 and August 2018 were analyzed retrospectively. Demographic characteristics, presenting symptoms, diagnostic methods, treatment procedures, complications and postoperative follow-up information were analyzed. Results: A total of 8 patients were included in the study. The mean age was 64.3 years. Male, and female patients constituted 75% (n=6) and 25% (n=2) of the study population. The most common presenting symptoms were abdominal pain (50%) and biliary colic (25%). Cholestatic enzymes were found to be high in 75% of the patients. Fifty-one patients had hyperbilirubinemia. Ectopic biliary drainage was most commonly (75%) located at the bulbus and the second most common (25%) localization was the post-bulbar region. The most common surgical procedure was hepaticojejunostomy (62.5%) and choledochoduodenostomy was performed in 25% of the cases. Conclusion: Surgical treatment methods can be used in addition to endoscopic methods in the treatment of anomalous common bile duct opening. Caution should be exercised in patients undergoing surgical treatment for anastomotic leakage, duodenal ulcer bleeding and bleeding from the area of sphincterotomy.

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Section: Discussionmentioning

confidence: 99%

Section: Gis: Gastrointestinalsystemmentioning

confidence: 99%

Section: Gis: Gastrointestinalsystemmentioning

confidence: 99%

Section: Gis: Gastrointestinalsystemmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Our Surgical Experience in Choledoch Opening Anomalies

Sarıtaş¹,

Ülkü²,

Topal³

et al. 2020

BMJ

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Ectopic papilla of Vater in the pylorus presenting with cholangitis: A case report with literature review

Alkarboly

Gharib

Salih³

et al. 2022

International Journal of Surgery Case Reports

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Efficacy and safety of therapeutic ERCP in patients with ectopic papilla of Vater

Hong¹,

Pan²,

Zuo³

et al. 2020

Medicine

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It remains challenging for endoscopists to manage pancreaticobiliary diseases in patients with ectopic papilla of Vater by endoscopic retrograde cholangiopancreatography (ERCP). The present study sought to evaluate the efficacy and safety of ERCP for this issue. Consecutive patients with ectopic papilla of Vater who underwent initial ERCP due to pancreaticobiliary diseases were retrospectively analyzed. One hundred seven patients with ectopic papilla of Vater were included. The success rate of cannulation was 83.2%. Endoscopic sphincterotomy, endoscopic papillary balloon dilation, and mechanical lithotripsy were performed in 12 (11.2%), 25 (23.4%), and 1 (0.9%) patients, respectively. The technical success rate was 83.2%; of these, endoscopic nasobiliary drainage, endoscopic retrograde biliary drainage, endoscopic retrograde pancreatic drainage, and stone extraction was conducted in 61 (57.0%), 17 (15.9%), 5 (4.7%), and 45 (42.1%) patients, respectively. Bile duct stone size ≥1 cm, number ≥2, and duodenum stenosis were risk factors for stone extraction inability. Adverse events occurred in 20 (18.7%) patients, including post-ERCP pancreatitis (3.7%), hyperamylasemia (12.1%), and infection of biliary tract (2.8%); all of the adverse events were mild and alleviated by conventional therapies. ERCP is an appropriate choice for pancreaticobiliary diseases in patients with ectopic papilla of Vater due to its high efficacy and safety. Bile duct stone size ≥1 cm, number ≥2, and duodenum stenosis increase difficulties for stone extraction.

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Retrospective analysis of cases with an ectopic opening of the common bile duct into duodenal bulb

Abstract: In patients with recurrent duodenal ulcers and/or apical stricture with accompanying CBD dilatation, extrahepatic cholestasis and cholangitis, EOCBD into the duodenal bulb should be considered.

Cited by 9 publications

References 12 publications

Our Surgical Experience in Choledoch Opening Anomalies

Our Surgical Experience in Choledoch Opening Anomalies

Ectopic papilla of Vater in the pylorus presenting with cholangitis: A case report with literature review

Efficacy and safety of therapeutic ERCP in patients with ectopic papilla of Vater

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