David Landry1, An Tang1, Jessica Murphy-Lavallée2, Luigi Lepanto1, Jean-Sébastien Billiard1, Damien Olivié1, Marie-Pierre Sylvestre3. 1. Department of Radiology, University of Montréal and CRCHUM, Hôpital Saint-Luc, Montréal, Québec, Canada. 2. Department of Radiology, University of Montréal and CRCHUM, Hôpital Saint-Luc, Montréal, Québec, Canada. Electronic address: jessica.murphy-lavallee.chum@ssss.gouv.qc.ca. 3. Biostatistics Services, University of Montreal Hospital Research Center (CRCHUM), Centre de recherche du CHUM, Montréal, Québec, Canada.
Abstract
PURPOSE: Retrospective assessment of impact of cholecystectomy, age, and sex on bile duct (BD) diameter. MATERIALS AND METHODS: We retrospectively reviewed abdominal contrast-enhanced multidetector computed tomography and laboratory reports of 290 consecutive patients (119 men; mean age, 55.9 years) who presented without cholestasis to the emergency department of our institution between June 2009 and August 2010. BD diameters were measured in 3 locations, by 2 independent observers, twice, at 1-month intervals. Reproducibility and agreement were evaluated by intraclass correlation coefficients and Bland-Altman analyses. The effects of cholecystectomy, age, and sex on BD diameter were analysed with linear mixed models. RESULTS: BD diameter inter-reader reproducibility and agreement were excellent at the level of the right hepatic artery (intraclass correlation coefficient, 0.94). Sixty-one patients (21.0%) had a history of cholecystectomy. Among them, the 95th percentile of BD diameters at hepatic artery level was 7.9 mm (<50 years) and 12.3 mm (≥50 years). Among those without cholecystectomy, BD diameter was 6.2 mm (<50 years) and 7.7 mm (≥50 years). Cholecystectomy was associated with significantly larger BD diameters in both age groups (P < .001). Older age was associated with larger BD diameters (P = .004). Sex had no impact on BD diameter (P = .842). CONCLUSION: Patients after cholecystectomy may present with an enlarged BD unrelated to cholestasis. The BD diameter increases with age. Clinicians should rely on cholecystectomy status, age, and laboratory results to determine needs of further investigation.
PURPOSE: Retrospective assessment of impact of cholecystectomy, age, and sex on bile duct (BD) diameter. MATERIALS AND METHODS: We retrospectively reviewed abdominal contrast-enhanced multidetector computed tomography and laboratory reports of 290 consecutive patients (119 men; mean age, 55.9 years) who presented without cholestasis to the emergency department of our institution between June 2009 and August 2010. BD diameters were measured in 3 locations, by 2 independent observers, twice, at 1-month intervals. Reproducibility and agreement were evaluated by intraclass correlation coefficients and Bland-Altman analyses. The effects of cholecystectomy, age, and sex on BD diameter were analysed with linear mixed models. RESULTS: BD diameter inter-reader reproducibility and agreement were excellent at the level of the right hepatic artery (intraclass correlation coefficient, 0.94). Sixty-one patients (21.0%) had a history of cholecystectomy. Among them, the 95th percentile of BD diameters at hepatic artery level was 7.9 mm (<50 years) and 12.3 mm (≥50 years). Among those without cholecystectomy, BD diameter was 6.2 mm (<50 years) and 7.7 mm (≥50 years). Cholecystectomy was associated with significantly larger BD diameters in both age groups (P < .001). Older age was associated with larger BD diameters (P = .004). Sex had no impact on BD diameter (P = .842). CONCLUSION:Patients after cholecystectomy may present with an enlarged BD unrelated to cholestasis. The BD diameter increases with age. Clinicians should rely on cholecystectomy status, age, and laboratory results to determine needs of further investigation.
Authors: Imo I Uko; Cecil Wood; Edward Nguyen; Annie Huang; Roberta Catania; Amir A Borhani; Jeanne M Horowitz; Helena Gabriel; Rajesh Keswani; Paul Nikolaidis; Frank H Miller; Linda C Kelahan Journal: Abdom Radiol (NY) Date: 2022-09-15