Choledochoduodenostomy in the management of dilated common bile duct due to choledocholithiasis.

Abstract

Choledochoduodenostomy (CDD) is the operative procedure for Choledocholithiasis in the presence of a dilated common bile duct (CBD). It has been reported as a most effective treatment of CBD stones than T-tube drainage but is regarded as a obsolete therapeutic method due to fears of higher morbidity, cholangitis, "sump" syndrome etc. This study was done prospectively to assess the aforementioned issues analyzing our two years (July 2009 - June 2011) experience.CDD was performed in 31 patients (22 females and 9 males) with aged 18 - 72 years. CBD stones were the only indications in all patients with 18 (45.1%) patients had cholangitis, 8 (35.4%) had cholecystitis and 5 (19.3%) had biliary colic. Abdominal sonogram revealed dilated CBD with single or multiple calculi. The diameter of CBD varies from 14 - 29mm with stone size being ranged from 10- 26mm.Early post operative complications were seen in 4 (12.9%) patients. Only one patient had recurrent cholangitis presented lately due to intrahepatic stones.CDD is a highly effective treatment for choledocholithiasis in all age group with low morbidity and mortality provided a wide anastomosis is accomplished.

• Authors: S Shrestha, G B N Pradhan, P Paudel, R Shrestha, C L Bhattachan
• Journal: Nepal Medical College journal : NMCJ (Nepal Med Coll J) Vol. 14 Issue 1 Pg. 31-4 (Mar 2012) ISSN: 2676-1319 [Print] Nepal
• PMID: 23441491 (Publication Type: Journal Article)

Topics

• Adolescent
• Adult
• Aged
• Choledocholithiasis (diagnostic imaging, surgery)
• Choledochostomy
• Common Bile Duct (diagnostic imaging, surgery)
• Female
• Humans
• Male
• Middle Aged
• Prospective Studies
• Treatment Outcome
• Ultrasonography