title: Choledochoduodenostomy: influence of risk factors in post-operative morbidity.
abstract: BACKGROUND
  Choledochoduodenostomy is performed for a variety of lower common bile duct lesions.
  
  
  OBJECTIVE
  To analyse the influence of risk factors on the post-operative morbidity following choledochoduodenostomy.
  
  
  METHODS
  Relation of risk factors including age more than 60 years, medical Illness, hemoglobin less than 10 g/dL, albumin less than 3 g/dL, bilirubin more than 10m/dL, presence of cholangitis at admission (treated pre-operatively), use of pre-operative endoscopic sphincterotomy and common bile duct diameter at surgery were related to the occurrence of post-operative morbidity was studied using univariate analysis.
  
  
  RESULTS
  Fifty patients underwent choledochoduodenostomy. One patient (2%) died; major post-operative morbidity occurred in 12 patients (24%). Presence of cholangitis at admission was the only factor related (p = 0.00012) to the occurrence of post-operative morbidity. No long-term complications were encountered in 35 patients (70%) mean with followup period of 28 (range 8-60) months.
  
  
  CONCLUSIONS
  Choledochoduodenostomy is a safe permanent drainage procedure for benign lower biliary obstruction.
authors.affiliation: Department of Surgical Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow.
authors.forename: K V
authors.initials: KV
authors.lastname: Ravindra
authors.forename: R
authors.initials: R
authors.lastname: Kapoor
authors.forename: S S
authors.initials: SS
authors.lastname: Sikora
authors.forename: R
authors.initials: R
authors.lastname: Saxena
authors.forename: V K
authors.initials: VK
authors.lastname: Kapoor
authors.forename: S P
authors.initials: SP
authors.lastname: Kaushik
mesh_terms: D000367:Age Factors; D002761:Cholangitis / Q000453:epidemiology; D002768:Choledochostomy; D003137:Common Bile Duct Diseases / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009017:Morbidity; D011183:Postoperative Complications / Q000453:epidemiology*; D012307:Risk Factors; D013997:Time Factors