238. Die Indikation zur Aufhebung der Choledochoduodenostomie

Abstract

From 1964 to 1979 40 de-choledochoduodenostomies were performed: 15 for hepatocholedocholithiasis, 7 for shrinkage of the anastomosis, 8 for a blind loop syndrome and 12 for cholangitis. In 32 cases normal bile drainage through the papilla could be reestablished; in only one case a papillotomy was necessary. In all others a dilatation of the papilla alone was effective. Hepaticojejunostomy (Roux-en-Y) was performed in 7 cases. In one case of ascending papillomatosis of the choledochus a partial duodenopancreatectomy was necessary. No patient died postoperatively.