{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,12,24]],"date-time":"2023-12-24T00:04:49Z","timestamp":1703376289072},"reference-count":19,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2021,6,6]],"date-time":"2021-06-06T00:00:00Z","timestamp":1622937600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2021,6,6]],"date-time":"2021-06-06T00:00:00Z","timestamp":1622937600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2021,6,6]],"date-time":"2021-06-06T00:00:00Z","timestamp":1622937600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Dilated common bile duct (CBD) (8\u201315\u00a0mm) with normal liver function tests is seen not infrequently, while management of such patients is ambiguous. We propose a treatment algorithm for this cohort of patients after observing them over a period of 8 years.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Seventy\u2010eight such patients were managed from 2009 to 2017 and categorized as: Group A\u2014dilated CBD with post\u2010cholecystectomy status (<jats:italic>n<\/jats:italic>\u2009=\u200915); B\u2014dilated CBD with cholelithiasis (<jats:italic>n<\/jats:italic>\u2009=\u200934); C\u2014dilated CBD without cholelithiasis (<jats:italic>n<\/jats:italic>\u2009=\u200916); D\u2014dilated CBD with no cause identified and underwent CBD excision (<jats:italic>n<\/jats:italic>\u2009=\u200913). Causes for CBD dilatation were evaluated. The outcome of patients in Group B\u2009+\u2009C without any cause (<jats:italic>n<\/jats:italic>\u2009=\u200933) was compared with Group D.<\/jats:p><\/jats:sec><jats:sec><jats:title>Result<\/jats:title><jats:p>Median age, CBD diameter, bilirubin and alkaline phosphatase were 51 years (13\u201379), 10\u00a0mm (8\u201320), 0.6\u00a0mg\/dl (0.2\u20132.5) and 126 IU (60\u2013214), respectively. Group\u2010A patients who did not manifest any cause of CBD dilatation were managed conservatively. The aetiology was identified in 17\/50 patients in Group B &amp; C [acute pancreatitis (<jats:italic>n<\/jats:italic>\u2009=\u20096), passed CBD calculi (<jats:italic>n<\/jats:italic>\u2009=\u20093), perivaterian diverticulum (<jats:italic>n<\/jats:italic>\u2009=\u20093), viral aetiology (<jats:italic>n<\/jats:italic>\u2009=\u20094) and tumour (n\u20101)]. In Group\u2010C, 7 patients with no obvious cause underwent endoscopic sphincterotomy, pancreatoduodenectomy (<jats:italic>n<\/jats:italic>\u2009=\u20091), and the rest were managed conservatively (<jats:italic>n<\/jats:italic>\u2009=\u20098). There was no significant difference in the complication between Group B\u2009+\u2009C (without any cause) and Group D (3\/33 vs. 1\/13; <jats:italic>p<\/jats:italic>\u2009=\u20090.58) at a median follow\u2010up of 72\u00a0months (30\u201390).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Dilated CBD with normal LFT's without apparent cause is mostly benign and of no consequence. Excision of the CBD is not required for most of these patients.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-021-06175-4","type":"journal-article","created":{"date-parts":[[2021,6,6]],"date-time":"2021-06-06T20:02:52Z","timestamp":1623009772000},"page":"2712-2718","update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Management of Obscurely Dilated Common Bile Duct with Normal Liver Function Tests: A Pragmatic Approach"],"prefix":"10.1002","volume":"45","author":[{"given":"Sundeep Singh","family":"Saluja","sequence":"first","affiliation":[{"name":"Department of Gastrointestinal Surgery G B Pant Institute of Post Graduate Medical Education and Research 1, Jawaharlal Nehru Marg 110002 New Delhi India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vaibhav Kumar","family":"Varshney","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery G B Pant Institute of Post 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