ANATOMICAL VARIATIONS OF THE BILIARY TREE FOUND WITH ENDOSCOPIC RETROGRADE CHOLAGIOPANCREATOGRAPHY IN A REFERRAL CENTER IN SOUTHERN IRAN

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TAGHAVI SEYED ALIREZA; NIKNAM RAMIN; ALAVI SEYEDEHSAN; EJTEHADI FARDAD; SIVANDZADEH GHOLAM REZA; ESHRAGHIAN AHAD

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Journal: MIDDLE EAST JOURNAL OF DIGESTIVE DISEASES (MEJDD) Year:2017 | Volume:9 | Issue:4 Page(s): 201-205

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Title

ANATOMICAL VARIATIONS OF THE BILIARY TREE FOUND WITH ENDOSCOPIC RETROGRADE CHOLAGIOPANCREATOGRAPHY IN A REFERRAL CENTER IN SOUTHERN IRAN

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Keywords

ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY

BILIARY ANATOMY

HUANG CLASSIFICATION

Abstract

BACKGROUND Anatomical variations in the biliary system have been proven to be of clinical importance.Awareness of the pattern of these variations in a specific population may help to prevent and manage biliary injuries during surgical and endoscopic procedures. Knowledge of the BILIARY ANATOMY will be also of great help in planning the drainage of adequate percentage of liver parenchyma in endoscopic or radiological procedures.METHODS All consecutive patients undergoing ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP) from April 2013 to April 2015 at Nemazee Hospital, a referral center in the south of Iran, were included in this cross-sectional study. The patients with previous hepatic or biliary surgery, liver injury or destructive biliary disease were excluded from the study. All ERCPs were reviewed bytwo expert gastroenterologists in this field. The disagreed images by the two gastroenterologists were excluded. HUANG CLASSIFICATION was used for categorizing the different structural variants of the biliary tree, and the frequency of each variant was recorded.RESULTS Totally, 362 patients (181 men and 181 women) were included in the study.163 patients (45%)had type A1 HUANG CLASSIFICATION (right dominant), which was the most prevalent type among our patients.55% of them had non-right dominant anatomy. The result of the Chi-square test revealed that there was no statistically significant difference between the men and women regarding the anatomical variations (p=0.413).CONCLUSION The anatomical variation in the biliary system among Iranian patients is comparable to otherregions of the world. Significant proportions of our patients are non-right dominant and may need bilateral biliary drainage.

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References

ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP): CORE CURRICULUM

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APA: Copy

TAGHAVI, SEYED ALIREZA, NIKNAM, RAMIN, ALAVI, SEYEDEHSAN, EJTEHADI, FARDAD, SIVANDZADEH, GHOLAM REZA, & ESHRAGHIAN, AHAD. (2017). ANATOMICAL VARIATIONS OF THE BILIARY TREE FOUND WITH ENDOSCOPIC RETROGRADE CHOLAGIOPANCREATOGRAPHY IN A REFERRAL CENTER IN SOUTHERN IRAN. MIDDLE EAST JOURNAL OF DIGESTIVE DISEASES (MEJDD), 9(4), 201-205. SID. https://sid.ir/paper/319149/en

Vancouver: Copy

TAGHAVI SEYED ALIREZA, NIKNAM RAMIN, ALAVI SEYEDEHSAN, EJTEHADI FARDAD, SIVANDZADEH GHOLAM REZA, ESHRAGHIAN AHAD. ANATOMICAL VARIATIONS OF THE BILIARY TREE FOUND WITH ENDOSCOPIC RETROGRADE CHOLAGIOPANCREATOGRAPHY IN A REFERRAL CENTER IN SOUTHERN IRAN. MIDDLE EAST JOURNAL OF DIGESTIVE DISEASES (MEJDD)[Internet]. 2017;9(4):201-205. Available from: https://sid.ir/paper/319149/en

IEEE: Copy

SEYED ALIREZA TAGHAVI, RAMIN NIKNAM, SEYEDEHSAN ALAVI, FARDAD EJTEHADI, GHOLAM REZA SIVANDZADEH, and AHAD ESHRAGHIAN, “ANATOMICAL VARIATIONS OF THE BILIARY TREE FOUND WITH ENDOSCOPIC RETROGRADE CHOLAGIOPANCREATOGRAPHY IN A REFERRAL CENTER IN SOUTHERN IRAN,” MIDDLE EAST JOURNAL OF DIGESTIVE DISEASES (MEJDD), vol. 9, no. 4, pp. 201–205, 2017, [Online]. Available: https://sid.ir/paper/319149/en

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