The Relationship between Juxtapapillary Duodenal Diverticula and Biliary Diseases: An Evaluation by the Use of MDCT Multiplanar Reformation.
10.3348/jkrs.2008.59.3.183
- Author:
Jeong Gun KIM
1
;
Jong Yeong OH
;
Jin Han CHO
;
Hee Jin KWON
;
Kyeong Jin NAM
;
Min Chan KIM
Author Information
1. Department of Diagnostic Radiology, College of Medicine, Dong-A University, Korea. JY5966@yahoo.co.kr
- Publication Type:Original Article
- Keywords:
Tomography;
X-Ray Computed;
Bile duct diseases;
Duodenal diseases
- MeSH:
Bile Duct Diseases;
Diverticulum;
Duodenal Diseases;
Humans;
Retrospective Studies
- From:Journal of the Korean Radiological Society
2008;59(3):183-189
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: This study was designed to assess the CT findings of a juxtapapillary duodenal diverticulum (JPDD) and to determine if there is an association between a JPDD and biliary disease using MDCT multiplanar reformation (MPR). In addition, a study was performed to determine if MPR is more useful than an axial image only for an analysis of duodenal diverticula. MATERIALS AND METHODS: A total of 49 patients who had JPDD as identified on an MDCT image were retrospectively included in this study. Patients were divided into two groups: patients with biliary disease (Group 1) and patents without biliary disease (Group 2). A total of 23 patients (46.9%) had biliary disease. We analyzed the size, location, content of the diverticulum, compression of the biliary duct by a diverticulum and the site of a duodenal papilla with an axial image only and MPR images. RESULTS: The frequency of biliary disease was increased when the papilla was located inside a diverticulum (p = 0.033). The use of an MPR image was more useful than an axial image alone for the evaluation of a site of a duodenal papilla. CONCLUSION: A JPDD is associated with the development of biliary disease and the risk of biliary disease is increased when the papilla is located in a diverticulum. An MPR image can provide more precise information about the site of a papilla than an axial image for the evaluation of a JPDD.
