Treatment of Stone in the Common Bile Duct

Prevention and treatment of recurrent bile duct stones by choledochoduodenostomy

“…Since Riedel in 1888 and Sprengel in 1891 first introduced the operation, it has become well established in some parts of the continent of Europe [1,2], but in the U.S.A. and Britain, it has only gained popularity over the last 20 to 30 years since Hosford [3] and Sanders [4] drew attention to its merits. Careful follow-up studies of large numbers of patients since 1960 [5][6][7] demonstrated that the theoretical objections to the operation were not borne out in practice.…”

Hydrocephalus as a sequela of experimental myxovirus infections

“…It may well be that its merits have hitherto received too little attention'. Advocates of the operation attribute failure to an inadequate stoma and suggest the following variety of sizes as the ideal: 2-0-3.0 cm (Finsterer, 1952); 2 5-3.0 cm (Capper, 1961); 2.5 cm (Hurwitz and Degenshein, 1964); 2 cm (Hosford, 1957); 1-5-2-0 cm (Fung, 1961;Hess, 1965); and 'admitting little finger' (Sanders, 1946). The complications of an inadequate stoma are ascending cholangitis, recurrent obstructive jaundice, and recurrent biliary colic and stone formation.…”

Importance of the size of the stoma in choledocho-duodenostomy.

“…It may well be that its merits have hitherto received too little attention'. Advocates of the operation attribute failure to an inadequate stoma and suggest the following variety of sizes as the ideal: 2-0-3.0 cm (Finsterer, 1952); 2 5-3.0 cm (Capper, 1961); 2.5 cm (Hurwitz and Degenshein, 1964); 2 cm (Hosford, 1957); 1-5-2-0 cm (Fung, 1961;Hess, 1965); and 'admitting little finger' (Sanders, 1946). The complications of an inadequate stoma are ascending cholangitis, recurrent obstructive jaundice, and recurrent biliary colic and stone formation.…”