Choledochoduodenostomy for Calculous Biliary Tract Disease

Huguier, M

doi:10.1001/archsurg.1985.01390260099014

Arch Surg

1985

DOI: 10.1001/archsurg.1985.01390260099014

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Choledochoduodenostomy for Calculous Biliary Tract Disease

M Huguier¹

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1989

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Cited by 7 publications

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Long-term follow-up after choledochojejunostomy for bile duct stones with complex clearance of the bile duct

Gouma

Konsten

Soeters

et al. 1989

Journal of British Surgery

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In this retrospective study, the long-term follow-up of patients undergoing choledochojejunostomy (Roux-en-Y) for bile duct stones with complex clearance of the bile duct is evaluated. Bile duct exploration and subsequent choledochojejunostomy (Roux-en-Y) was performed in 43 patients (median age 67 years) in the period 1976-82. There was no mortality and only one patient had a major complication. Twenty patients died during follow-up (median follow-up period 5 years); the median follow-up period for the remaining 23 patients was 8 years. Good long-term results were found in 98 per cent of cases. No signs or symptoms could be related to bile duct obstruction or to cholangitis. Nearly all liver function tests and serum bilirubin levels were normal in the 21 patients who were tested. We conclude that patients with bile duct stones with complex clearance of the bile duct can be safely treated by means of a choledochoenterostomy (in this study a choledochojejunostomy Roux-en-Y).

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Long-term follow-up after choledochojejunostomy for bile duct stones with complex clearance of the bile duct

Gouma

Konsten

Soeters

et al. 1989

Journal of British Surgery

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Long-term results of choledochoduodenostomy in the treatment of choledocholithiasis: Assessment of 225 cases

Parrilla

Ramı́rez

Bueno

et al. 1991

Journal of British Surgery

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During a 10-year period 2610 patients were operated on for biliary lithiasis; in 225 (8.6 per cent) cases the operation concluded with a choledochoduodenostomy. The commonest preoperative diagnosis (62.2 per cent) in these 225 patients was choledocholithiasis; 30 patients had previously had a cholecystectomy. After choledochoduodenostomy, 4.0 per cent of patients had an intra-abdominal complication; six patients developed an intra-abdominal abscess and three developed an external biliary fistula. Four patients (1.8 per cent) died, three from pulmonary complications and one from a biliary fistula. After a mean follow-up period of 4.6 years, 71.5 per cent of patients were asymptomatic. The remainder suffered from dyspepsia (15.1 per cent), colicky pain (8.7 per cent) or episodes of cholangitis (4.7 per cent). Endoscopy in the symptomatic patients allowed the following conclusions: (a) no patient with dyspepsia had a problem at the anastomosis; (b) 27 per cent of those with colic had anastomotic stenosis or the sump syndrome; and (c) all patients with cholangitis had anastomotic stenosis and residual calculi.

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Antireflux Jejunoplasty for Recurrent Cholangitis

Schemmer

Schultze

Contin

et al. 2011

Journal of the American College of Surgeons

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Choledochoduodenostomy for Calculous Biliary Tract Disease

Cited by 7 publications

References 3 publications

Long-term follow-up after choledochojejunostomy for bile duct stones with complex clearance of the bile duct

Long-term follow-up after choledochojejunostomy for bile duct stones with complex clearance of the bile duct

Long-term results of choledochoduodenostomy in the treatment of choledocholithiasis: Assessment of 225 cases

Antireflux Jejunoplasty for Recurrent Cholangitis

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