Choledochoduodenostomy: influence of risk factors in post-operative morbidity.
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.
Ravindra
K V
KV
Department of Surgical Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow.
Kapoor
R
R
Sikora
S S
SS
Saxena
R
R
Kapoor
V K
VK
Kaushik
S P
SP
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