Post cholecystectomy common bile duct dilatation: a study from upper hills of Himachal Pradesh, India


  • Rajan Sood Department of Surgery, DYSPGMC, Nahan, Himachal Pradesh, India
  • Rinku Singh Department of Radiology, Solan, Himachal Pradesh, India
  • Sumit Chawla Department of Community Medicine, Pt. JLNGMC, Chamba, Himachal Pradesh, India



Bile duct, Cholecystectomy, Post-operative


Background: Relationship between cholecystectomy followed by postoperative dilatation of the common bile duct is uncertain. Various studies have shown variable results regarding the dilatation of common bile duct after cholecystectomy.

Methods: This study was a 1-year prospective study conducted at IGMC, Shimla with consent and ethical approval from the committee. Total 50 cases of symptomatic cholelithiasis belonging to either sex admitted in Surgical Wards of IGMC Shimla for elective surgery were selected for the present study. Cholecystectomy was done in all cases, after doing all the investigations.

Results: The mean preoperative CBD diameter in the study group was 4.2mm, 48 hours postoperatively was 5.58mm and at 1-month interval following cholecystectomy was 6.02mm, so the mean postoperative diameter observed was (6.02+5.58=5.8mm).

Conclusions: Significant dilatation does occur in CBD which is purely compensatory as there was no evidence of any pathological dilatation. This dilatation occur only in early post-operative period till the CBD adapts to contain bile equal to the Gall Bladder.


Britton J, Kenneth I, Savage A. Benign diseases of the biliary tract. In: Peter J, Morris, Ronaldo A. Oxford textbook of surgery. 1st ed. New York: Oxford University press inc; 1994:1204-1241.

Quist CF. The influence of cholecystectomy on the normal common bile duct. Acta Chir Scandinav 1957;113:30-4.

Gylstorff H, Faber H. Choledochus changes after cholecystectomy. Acta Chir Scandinav. 1963;125:499-501.

Wedmann B, Börsch G, Coenen C, Paassen A. Effect of cholecystectomy on common bile duct diameters: a longitudinal prospective ultrasonographic study. J Clini Ultrasound. 1988 Nov;16(9):619-24.

Goransson AM. Cholegraphy its applicability and reliability in connection with gall stone operations. Acta Chir Scand. 1980;496:1-9.

Longo MF, Hodgson JR, Ferris DO. Size of common bile duct following cholecystectomy. Ann Surg. 1967;165:250-3.

Le Quezne LP, Whiteside CJ, Hand BH. The common bile duct following cholecystectomy. Br Med J. 1959;1:329-32.

Feng B, Song Q. Does the common bile duct dilate after cholecystectomy? AJR. 1985;165:859-61.

Williamson RCN, Usatoff V. Open biliary operations. In: Kirk RM. General Surgical Operations. 4th ed. New Delhi: Elsevier Publication; 2004:375-396.

Langenbuch C. Ein Fall non exsterpation der Gallenblase, Gagen chronischer cholelithiasis . Hellung, Berliner Klinische wochenschrift. 1882;48:725-7.

Karam J, Roslyn JJ. Cholelithiasis and Cholecystectomy. In: Zinner MJ. Abdominal Operations. 10th ed. New Jersey: Prentice Hall; 1997:1717-1738.

Das S. The Biliary system. In: Das A concise text-book of surgery. 1st ed. Calcutta: S Das Publication; 1994;860-894.

Ahrendt SA, Pitt HA. Biliary Tract. In: David SC. Sabiston Textbook of Surgery. 17th ed. New Delhi: Elsevier publication; 2005:1597-1641.

Hunt DR, Scott AJ. Change in bile duct diameter after cholecystectomy. A 5 year old prospective study. Gastroenterol.1989;97:1485-8.

Puestow CB, Morrison RB. The relationship of cholecystitis and cholecystectomy to dilatation of choledochus. Ann Surg. 1935;101:599-602.

Edmonds R, Kutz S, Garciano V, Finby N. The common duct after cholecystectomy. Arch Surg. 1971;103:79-81.

Tanaka M, Ikeda S, Nakayama F. Changes in bile duct pressure responses after cholecystectomy. Loss of GB as a pressure reservoir. Gastroenterol. 1984;87:1154-9.

Hammarstorm LE, Holmin T, Ebbesen A, Stridbeck H. Influence of cholecystectomy on bile duct width. Br J Surg. 1996;83:1706-8.

Goyal YR, Kaur K, Singh DP, Rommel, Kapila AK. Effect of cholecystectomy on common bile duct. Ultrasonographic study Surg J N India. 1999:58-60.

Judd ES, Mann FC. The effect of removal of the gallbladder: An Experimental study. Surg Gynaecol Obstetr. 1917;24:437-42.

Judd ES. Condition of the common duct after cholecystectomy. JAMA. 1923;81:704-9.

Archibald E. Tr International Congress Medi Journal London, Sector VII Surg. 1914;2:22-4.

Raptopoulos V, Fabian TM, Silva W, Dorsi CJ, Karellas A, Comptori CC, et al. The effect of time and cholecystectomy on experimental biliary tree dilatation. Invest Radiol. 1985;20:276-86.

Hughes J, Curcio SB, Edmunds R, Finby N. The common duct after cholecystectomy: initial report of a ten-year study. JAMA. 1966 Jul 25;197(4):247-9.

Konsten J, Gouma DJ, Von Meyenfeldt MF, Menheere P. Long‐term follow‐up after open cholecystectomy. Brit J Surg. 1993 Jan;80(1):100-2.




How to Cite

Sood, R., Singh, R., & Chawla, S. (2020). Post cholecystectomy common bile duct dilatation: a study from upper hills of Himachal Pradesh, India. International Journal of Research in Medical Sciences, 8(4), 1254–1259.



Original Research Articles