Cargando…

The Prevalence of Hjortsjo Crook Sign of Right Posterior Sectional Bile Duct and Bile Duct Anatomy in ERCP

AIM: The frequency of the Right Posterior Sectional Bile Duct (RPSBD) hump sign in cholangiogram when it crosses over the right portal vein known as Hjortsjo Crook Sign and the bile duct anatomy are studied. Knowledge of the implication of positive sign can facilitate safe resection for both bile du...

Descripción completa

Detalles Bibliográficos
Autores principales: Alghamdi, Hanan M., Almuhanna, Afnan F., Aldhafery, Bander F., AlSulaiman, Raed M., Almarhabi, Ahmed, AlQurain, Abdulaziz
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5529631/
https://www.ncbi.nlm.nih.gov/pubmed/28785551
http://dx.doi.org/10.1155/2017/2532610
_version_ 1783253164329271296
author Alghamdi, Hanan M.
Almuhanna, Afnan F.
Aldhafery, Bander F.
AlSulaiman, Raed M.
Almarhabi, Ahmed
AlQurain, Abdulaziz
author_facet Alghamdi, Hanan M.
Almuhanna, Afnan F.
Aldhafery, Bander F.
AlSulaiman, Raed M.
Almarhabi, Ahmed
AlQurain, Abdulaziz
author_sort Alghamdi, Hanan M.
collection PubMed
description AIM: The frequency of the Right Posterior Sectional Bile Duct (RPSBD) hump sign in cholangiogram when it crosses over the right portal vein known as Hjortsjo Crook Sign and the bile duct anatomy are studied. Knowledge of the implication of positive sign can facilitate safe resection for both bile duct and portal vein. METHODS: Prospectively, we included 237 patients with indicated ERCP during a period from March 2010 to January 2015. RESULTS: The mean age (±SD) and male to female ratio were 38.8 (±19.20) and 1 : 1.28, respectively. All patients are Arab from Middle Eastern origin, had biliary stone disease, and underwent diagnostic and therapeutic ERCP. Positive Hjortsjo Crook Sign was found in 17.7% (42) of patients. The sign was found to be equally more frequent in Nakamura's RPSBD anatomical variant types I, II, and IV in 8.4% (20), 6.8% (16), and 2.1% (5), respectively, while rare anatomical variant type III showed no positive sign. CONCLUSION: Hjortsjo Crook Sign frequently presents in RPSBD variation types I, II, and IV in our patients.
format Online
Article
Text
id pubmed-5529631
institution National Center for Biotechnology Information
language English
publishDate 2017
publisher Hindawi
record_format MEDLINE/PubMed
spelling pubmed-55296312017-08-07 The Prevalence of Hjortsjo Crook Sign of Right Posterior Sectional Bile Duct and Bile Duct Anatomy in ERCP Alghamdi, Hanan M. Almuhanna, Afnan F. Aldhafery, Bander F. AlSulaiman, Raed M. Almarhabi, Ahmed AlQurain, Abdulaziz Can J Gastroenterol Hepatol Research Article AIM: The frequency of the Right Posterior Sectional Bile Duct (RPSBD) hump sign in cholangiogram when it crosses over the right portal vein known as Hjortsjo Crook Sign and the bile duct anatomy are studied. Knowledge of the implication of positive sign can facilitate safe resection for both bile duct and portal vein. METHODS: Prospectively, we included 237 patients with indicated ERCP during a period from March 2010 to January 2015. RESULTS: The mean age (±SD) and male to female ratio were 38.8 (±19.20) and 1 : 1.28, respectively. All patients are Arab from Middle Eastern origin, had biliary stone disease, and underwent diagnostic and therapeutic ERCP. Positive Hjortsjo Crook Sign was found in 17.7% (42) of patients. The sign was found to be equally more frequent in Nakamura's RPSBD anatomical variant types I, II, and IV in 8.4% (20), 6.8% (16), and 2.1% (5), respectively, while rare anatomical variant type III showed no positive sign. CONCLUSION: Hjortsjo Crook Sign frequently presents in RPSBD variation types I, II, and IV in our patients. Hindawi 2017 2017-07-12 /pmc/articles/PMC5529631/ /pubmed/28785551 http://dx.doi.org/10.1155/2017/2532610 Text en Copyright © 2017 Hanan M. Alghamdi et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Alghamdi, Hanan M.
Almuhanna, Afnan F.
Aldhafery, Bander F.
AlSulaiman, Raed M.
Almarhabi, Ahmed
AlQurain, Abdulaziz
The Prevalence of Hjortsjo Crook Sign of Right Posterior Sectional Bile Duct and Bile Duct Anatomy in ERCP
title The Prevalence of Hjortsjo Crook Sign of Right Posterior Sectional Bile Duct and Bile Duct Anatomy in ERCP
title_full The Prevalence of Hjortsjo Crook Sign of Right Posterior Sectional Bile Duct and Bile Duct Anatomy in ERCP
title_fullStr The Prevalence of Hjortsjo Crook Sign of Right Posterior Sectional Bile Duct and Bile Duct Anatomy in ERCP
title_full_unstemmed The Prevalence of Hjortsjo Crook Sign of Right Posterior Sectional Bile Duct and Bile Duct Anatomy in ERCP
title_short The Prevalence of Hjortsjo Crook Sign of Right Posterior Sectional Bile Duct and Bile Duct Anatomy in ERCP
title_sort prevalence of hjortsjo crook sign of right posterior sectional bile duct and bile duct anatomy in ercp
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5529631/
https://www.ncbi.nlm.nih.gov/pubmed/28785551
http://dx.doi.org/10.1155/2017/2532610
work_keys_str_mv AT alghamdihananm theprevalenceofhjortsjocrooksignofrightposteriorsectionalbileductandbileductanatomyinercp
AT almuhannaafnanf theprevalenceofhjortsjocrooksignofrightposteriorsectionalbileductandbileductanatomyinercp
AT aldhaferybanderf theprevalenceofhjortsjocrooksignofrightposteriorsectionalbileductandbileductanatomyinercp
AT alsulaimanraedm theprevalenceofhjortsjocrooksignofrightposteriorsectionalbileductandbileductanatomyinercp
AT almarhabiahmed theprevalenceofhjortsjocrooksignofrightposteriorsectionalbileductandbileductanatomyinercp
AT alqurainabdulaziz theprevalenceofhjortsjocrooksignofrightposteriorsectionalbileductandbileductanatomyinercp
AT alghamdihananm prevalenceofhjortsjocrooksignofrightposteriorsectionalbileductandbileductanatomyinercp
AT almuhannaafnanf prevalenceofhjortsjocrooksignofrightposteriorsectionalbileductandbileductanatomyinercp
AT aldhaferybanderf prevalenceofhjortsjocrooksignofrightposteriorsectionalbileductandbileductanatomyinercp
AT alsulaimanraedm prevalenceofhjortsjocrooksignofrightposteriorsectionalbileductandbileductanatomyinercp
AT almarhabiahmed prevalenceofhjortsjocrooksignofrightposteriorsectionalbileductandbileductanatomyinercp
AT alqurainabdulaziz prevalenceofhjortsjocrooksignofrightposteriorsectionalbileductandbileductanatomyinercp