PMID: 9187549Jan 1, 1996Paper

Choledochoduodenostomy in the management of common duct stones or associated pathology--an obsolete method?

HPB Surgery : a World Journal of Hepatic, Pancreatic and Biliary Surgery
A C de AlmeidaF J Aldeia

Abstract

Choledochoduodenostomy (CDD) has been reported as a more effective treatment of CBD stones than T-tube drainage but it is regarded as a last resort or obsolete therapeutic method due to fears of higher mobidity, cholangitis, "sump" syndrome and liver dysfunction. We aimed to assess the aforementioned issues analyzing prospectively our experience from 1976 through Dec.92. CDD was performed in 89 females and 36 males, aged 60 +/- 8.7 years, 26 during repeat surgery. Duct stones were the indication in 94, Sphincter of oddi (SO) dysfunction in 23 and obstructive pancreatitis nodule in 8. Peroperative liver biopsies were obtained in 44 patients. The "follow-up" schedule (> 2.5 years in 110) included clinical interview and LFT's on an yearly basis. Ultra sound (USG) was obtained every one or two years. ERC was done in 10 symptomatic patients and in 25 others for protocul purposes. Liver biopsies were taken four to nine years post surgery in 11 patients-five at relaparotomy for non-biliary causes and six percutaneously by fine needle. Ductal mucosa biopsy could safely be performed in one patient 10 years after surgery. The long-term results were classified as excellent, good, fair or poor. Poor meant the need for further invasive ther...Continue Reading

Citations

Feb 25, 2011·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·William McIver LeppardKatherine A Morgan
Feb 15, 2012·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Yashodhan S KhajancheePaul D Hansen
Jun 1, 2013·North American Journal of Medical Sciences·Khnissi AbdelmajidHamila Fehmi
Mar 12, 2008·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·S M G Kibria, R Hall
Jun 5, 2008·ANZ Journal of Surgery·Kamran KhalidKhalid M Durrani
Mar 29, 2006·The Journal of Emergency Medicine·Scott C Sherman, Huy Tran
Mar 15, 2015·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Jun Suh Lee, Tae Ho Hong
Feb 16, 2005·Surgical Endoscopy·A Cuschieri, G D Adamson
Aug 31, 2017·Annals of the Royal College of Surgeons of England·H OkamotoH Fujii
Oct 6, 2017·ANZ Journal of Surgery·Tegan OrmstonDaniel Croagh
Apr 17, 2019·Journal of Robotic Surgery·Annie Laurie BenzieAlexander Rosemurgy
Sep 18, 2020·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·A Marthe SchreuderThomas M van Gulik

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