Case Report

Retraction of the main papilla toward the biliary system in patients with primary sclerosing cholangitis

Volume 25 · Issue 1 Publish Date: February 15, 2014
Erkan Parlak Aydın Şeref Köksal Selçuk Dişibeyaz Bahattin Çiçek Bülent Ödemiş Nurgül Şaşmaz Burhan Şahin
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Turkish Journal of Gastroenterology

Volume 25 · Issue 1

Pages: 203-205

History

Published Online: February 15, 2014

Copyright © 2014 Erkan Parlak, Aydın Şeref Köksal, Selçuk Dişibeyaz, Bahattin Çiçek, Bülent Ödemiş, Nurgül Şaşmaz, Burhan Şahin

Erkan Parlak
Department of Gastroenterology, Sakarya University School of Medicine, Sakarya, Turkey
Aydın Şeref Köksal
Department of Gastroenterology, Sakarya University School of Medicine, Sakarya, Turkey
Selçuk Dişibeyaz
Department of Gastroenterology, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
Bahattin Çiçek
Department of Gastroenterology, Türkiye Yüksek İhtisas Hospital, Ankara
Bülent Ödemiş
Department of Gastroenterology, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
Nurgül Şaşmaz
Department of Gastroenterology, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
Burhan Şahin
Department of Gastroenterology, Türkiye Yüksek İhtisas Hospital, Ankar
Parlak, E., Köksal, A. Şeref, Dişibeyaz, S., Çiçek, B., Ödemiş, B., Şaşmaz, N., & Şahin, B. (2014). Retraction of the main papilla toward the biliary system in patients with primary sclerosing cholangitis. Turkish Journal of Gastroenterology, 25(1), 203–205. https://doi.org/10.5152/tjg.2014.5238
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Abstract

Abstract Background/Aims: Retraction of the main papilla toward the biliary system was observed in 70% of patients with primary sclerosing cholangitis (PSC). However, this observation was confounded by the fact that all of the patients with this finding had a prior history of sphincterotomy. The aim of the present study was to observe whether main papillary retraction can be seen in patients with naïve papillae and accompanies the progression of the disease. Materials and Methods: The study was conducted in a single tertiary reference center and included 4 patients with PSC. Results: Main papillary retraction was seen to emerge with progression of PSC after an initial presentation with intra and extrahepatic involvement in 2 patients and after progression from intrahepatic to extrahepatic bile ducts in 1 patient. Main papillary retraction was seen in 2 patients with naïve papillae and could be detected by magnetic resonance cholangiography in 1 patient. Conclusion: Retraction of the main papilla can be seen in patients with PSC regardless of prior sphincterotomy history.

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Article Info
Published In
Journal Turkish Journal of Gastroenterology
Volume / Issue Volume 25 · Issue 1
Pages 203-205
DOI 10.5152/tjg.2014.5238
History
Published Online February 15, 2014
Copyright
Copyright (c) 2014 Erkan Parlak, Aydın Şeref Köksal, Selçuk Dişibeyaz, Bahattin Çiçek, Bülent Ödemiş, Nurgül Şaşmaz, Burhan Şahin
Affiliations
Erkan Parlak
Department of Gastroenterology, Sakarya University School of Medicine, Sakarya, Turkey
Aydın Şeref Köksal
Department of Gastroenterology, Sakarya University School of Medicine, Sakarya, Turkey
Selçuk Dişibeyaz
Department of Gastroenterology, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
Bahattin Çiçek
Department of Gastroenterology, Türkiye Yüksek İhtisas Hospital, Ankara
Bülent Ödemiş
Department of Gastroenterology, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
Nurgül Şaşmaz
Department of Gastroenterology, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
Burhan Şahin
Department of Gastroenterology, Türkiye Yüksek İhtisas Hospital, Ankar
Cite this Article
Parlak, E., Köksal, A. Şeref, Dişibeyaz, S., Çiçek, B., Ödemiş, B., Şaşmaz, N., & Şahin, B. (2014). Retraction of the main papilla toward the biliary system in patients with primary sclerosing cholangitis. Turkish Journal of Gastroenterology, 25(1), 203–205. https://doi.org/10.5152/tjg.2014.5238
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