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Abnormal drainage of the biliary tree after relief of long-standing extrahepatic biliary obstruction.

Abstract
To assess the progress of pathologic changes of the biliary tree and particularly their role on biliary drainage after the relief of long-standing extrahepatic biliary obstruction, 100 patients with postcholecystectomy choledocholithiasis who underwent choledochoduodenostomy as a supplementary procedure to choledochotomy were assessed by use of barium meal follow-through studies at different postoperative intervals. Patients were divided into two groups (50 patients each). Group A included patients over 50 years of age with a history of symptoms for more than 10 years. The additional criterion used for these patients was the finding of a common bile duct dilatation greater than 3 cm. In contrast, Group B included patients under the age of 50 years with a comparatively shorter history of symptoms (that is, less than 10 years) and with a common bile duct dilatation less than 3 cm. Results revealed that a major proportion of patients in the first group had no effective decompression of their ductal systems and that there existed a feature of biliary stasis associated with a higher incidence of both bile infection and pathologic changes of the biliary tree.
AuthorsN J Lygidakis
JournalAmerican journal of surgery (Am J Surg) Vol. 146 Issue 3 Pg. 318-21 (Sep 1983) ISSN: 0002-9610 [Print] United States
PMID6614319 (Publication Type: Journal Article)
Topics
  • Adult
  • Aged
  • Biliary Tract (pathology)
  • Cholestasis (diagnostic imaging)
  • Cholestasis, Extrahepatic (surgery)
  • Drainage
  • Female
  • Humans
  • Male
  • Middle Aged
  • Postoperative Complications (diagnostic imaging)
  • Radiography

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