Side-to-side choledochoduodenostomy: a reappraisal based on a study of 70 patients.
We experienced a total of 70 side-to-side choledochoduodenostomy cases and 80% of them were indicated for gallstone disease patients. There were no early postoperative complications, but intrahepatic gallstones developed in 2 cases. The size of the stoma and the width of the common duct were reduced about 30% within 3 postoperative months. Although clinical cholangitis did not occur in the presence of an adequate stoma, histological cholangitis was constantly seen throughout 10-year-follow-up period. Strictness of operative indications, and periodical and long term follow-up study of postoperative patients are mandatory to obtain better clinical results.
Aoki
Y
Y
Department of Surgery, Hashimoto Municipal Hospital, Japan.
Oka
S
S
Nakamura
M
M
Nakatsuka
H
H
Kawaguchi
T
T
Tanimura
H
H
D001653:Bile Ducts, Intrahepatic; D002648:Child; D002761:Cholangitis / Q000209:etiology; D002768:Choledochostomy / Q000009:adverse effects / Q000379:methods; D002769:Cholelithiasis / Q000209:etiology; D005069:Evaluation Studies as Topic; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011379:Prognosis