Choledochoduodenostomy: an answer to some biliary surgical problems.
In the presence of a primary stasis stone, ampullary obstruction, and a massively dilated common bile duct, choledochoduodenostomy should be considered. Because of infrequent need, surgeons may hesitate to utilize this valuable procedure; however, it may be the most expeditious and safest method of treating complex biliary problems. Neither ascending cholangitis nor stasis in the remaining distally obstructed duct appear to be a problem if an adequate stoma is established. A case report was included to emphasize the problem and the solution.
D000368:Aged; D001652:Bile Ducts / Q000601:surgery*; D002779:Cholestasis / Q000601:surgery*; D004386:Duodenum / Q000601:surgery*; D006801:Humans; D008297:Male; D013514:Surgical Procedures, Operative / Q000379:methods