Choledochoduodenostomy: Our Experience in 50 Consecutive Patients
Journal Title: IJSR-International Journal Of Scientific Research - Year 2016, Vol 5, Issue 8
Abstract
Choledochoduodenostomy is a surgical drainage procedure for choledocholithiasis in the presence of dilated common bile duct. It has been reported as a more effective treatment for choledocholithiasis than T-tube drainage but is regarded as an obsolete therapeutic method due to fears of higher morbidity, cholangitis and sump syndrome. Between January 2007 and May 2013, 50 patients underwent choledochoduodenostomy for choledocholithiasis with dilated bile duct(diameter more than 1.5 cm). Medical records of these were retrospectively analyzed and data collected with particular attention to clinical profile, postoperative morbidity and mortality, complications and follow-up. Fifty patients (27 female and 23 male, mean age 55 years) underwent choledochoduodenostomy for choledocholithiasis. There were no anastomotic leaks and peri-operative mortality. 2 patients(4%) developed wound infection. The mean duration of hospital stay was 7 days(5–11 days). On follow-up, 9 patients(18%) were symptomatic.No patients developed sump syndrome or cholangitis. Choledochoduodenostomy is a safe and effective biliary drainage option for choledocholithiasis with dilated bile duct (diameter greater than 1.5 cm).Adequate stoma size is necessary to reduce complications. Outcomes are acceptable with low morbidity.
Authors and Affiliations
Siva Gavini, Silpa Kadiyala, Venkatarami Reddy
Keywords
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