title: Choledochoduodenostomy in the management of dilated common bile duct due to choledocholithiasis.
abstract: Choledochoduodenostomy (CDD) is the operative procedure for Choledocholithiasis in the presence of a dilated common bile duct (CBD). It has been reported as a most effective treatment of CBD stones than T-tube drainage but is regarded as a obsolete therapeutic method due to fears of higher morbidity, cholangitis, "sump" syndrome etc. This study was done prospectively to assess the aforementioned issues analyzing our two years (July 2009 - June 2011) experience.CDD was performed in 31 patients (22 females and 9 males) with aged 18 - 72 years. CBD stones were the only indications in all patients with 18 (45.1%) patients had cholangitis, 8 (35.4%) had cholecystitis and 5 (19.3%) had biliary colic. Abdominal sonogram revealed dilated CBD with single or multiple calculi. The diameter of CBD varies from 14 - 29mm with stone size being ranged from 10- 26mm.Early post operative complications were seen in 4 (12.9%) patients. Only one patient had recurrent cholangitis presented lately due to intrahepatic stones.CDD is a highly effective treatment for choledocholithiasis in all age group with low morbidity and mortality provided a wide anastomosis is accomplished.
authors: Department of Surgery, Nepal Medical College and Teaching Hospital, Jorpati, Kathmandu, Nepal. phoolbari@yahoo.com
authors: S
authors: S
authors: Shrestha
authors: G B N
authors: GB
authors: Pradhan
authors: P
authors: P
authors: Paudel
authors: R
authors: R
authors: Shrestha
authors: C L
authors: CL
authors: Bhattachan
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D042883:Choledocholithiasis / Q000000981:diagnostic imaging / Q000601:surgery*; D002768:Choledochostomy; D003135:Common Bile Duct / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D016896:Treatment Outcome; D014463:Ultrasonography