Choledochoduodenostomy: importance of common duct size and occurrence of cholangitis. Arch Surg 1980 Oct;115(10):1212-3
Date
10/01/1980Pubmed ID
7425835DOI
10.1001/archsurg.1980.01380100058013Scopus ID
2-s2.0-0019307464 (requires institutional sign-in at Scopus site) 15 CitationsAbstract
Choledochoduodenostomy was performed in 68 patients. In these cases, we attempted to determine any correlation between the size of the common duct and subsequent cholangitis. Follow-up information was available in 64 (94%) of the cases, with a mean follow-up of three years. The most common indication for choledochoduodenostomy was choledocholiothiasis. Prior biliary surgery was used in 33 (48%) patients. Benign disease was present in 51 patients, and 17 patients had malignant neoplasms. The mean size of the common duct was 2.1 cm and the range was 1.0 to 4.0 cm. Only two patients (2.8%) experienced episodes of cholangitis after choledochoduodenostomy and both of these patients had a common duct that measured less than 1.6 cm at the time of anastomosis. Other procedures than choledochoduodenostomy should be considered when common duct size is less than 1.6 cm.
Author List
Kraus MA, Wilson SDMESH terms used to index this publication - Major topics in bold
AdultAged
Biliary Tract Diseases
Cholangitis
Common Bile Duct
Duodenum
Female
Gallstones
Humans
Male
Middle Aged
Postoperative Complications
