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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...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Hindawi
2017
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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 |
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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 |
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