title: Closure of the Common Duct -Endonasobiliary Drainage Tubes vs. T Tube: A Comparative Study.
abstract: For the last century T tube drainage of the bile duct has remained standard practice following choledochlithotomy. It vents the biliary tree, provides route for cholangiography and management of residual stones. However, T tubes are associated with significant complications. This retrospective study compared the use of Endonasobiliary drainage tubes and the T tube in 66 patients who underwent open choledocholithotomy for effectiveness and complications. Both groups were statistically comparable. Only 15.15% patients in the Endonasobiliary drainage group, while 45.45% patients in the T tube group developed complications. Severe complications such as biliary peritonitis and intraperitoneal collections were noted only in the T tube group. The Endonasobiliary drainage tube was removed significantly earlier and patients from this group were discharged earlier as compared to those in the T tube. The Endonasobiliary drainage tube is as effective as the T tube in postoperative biliary drainage and allows cholangiograms to be performed. Its use is associated with less complications and it can be removed safely earlier than the T tube. Thus patients have a shorter time with tubes and can be discharged home earlier.
authors.forename: Mehmood A
authors.initials: MA
authors.lastname: Wani
authors.forename: Nisar A
authors.initials: NA
authors.lastname: Chowdri
authors.forename: Sameer H
authors.initials: SH
authors.lastname: Naqash
authors.forename: Fazl Q
authors.initials: FQ
authors.lastname: Parray
authors.forename: Rauf Ahmad
authors.initials: RA
authors.lastname: Wani
authors.forename: Nazir A
authors.initials: NA
authors.lastname: Wani