Choledochoduodenostomy

Madden, John L.; Chun, John Y; Kandalaft, S; Parekh, Mousam

doi:10.1016/0002-9610(70)90010-3

Cited by 129 publications

(27 citation statements)

References 5 publications

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“…In contrast, obstruction due to postoperative adhesions and cholestasis in the intestinal tract are considered the most common cause of cholangitis following intestinal tract reconstruction [ 3 ]. Regarding reflux of foods into the biliary tract, it has also been reported that patients without anastomotic stenosis do not develop cholangitis [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

“…Imanaga procedure is thought to function as follows: as foods pass the upper jejunum, it promotes secretion of enteric hormone and improves digestion and absorption function; as there is no food retention around the anastomotic site, there are limited pancreatic juices or biliary congestion. But then, the incidence of delayed gastric emptying in the postoperative early stage is higher on Imanaga procedure [ 4 ]. Some authors reported cholestasis to be more significant and the rate of biliary system infection higher in Child method compared to those in Imanaga procedure [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

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A case of postoperative recurrent cholangitis after pancreaticoduodenectomy successfully treated by tract conversion surgery

Shiihara¹,

Miura²,

Konishi³

et al. 2016

J. surg. case rep.

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A 69-year-old man, who had undergone pylorus-preserving pancreaticoduodenectomy (PD) (Imanaga procedure) for duodenum papilla cancer 13 years prior, had a history of repeated hospitalization due to cholangitis since the third year after surgery and liver abscess at the 10th year after surgery. Gastrointestinal series indicated no stenosis after the cholangiojejunostomy. However, reflux of contrast media into the bile duct and persistence of food residues were observed. We considered the cholangitis to be caused by reflux and persistence of food residues into the bile duct. So, we performed the tract conversion surgery, Imanaga procedure to Child method. The postoperative course was good even after re-initiating dietary intake. He was discharged on the 19th day after surgery. He has not experienced recurrent cholangitis for 18 months. For patients with post-PD recurrent cholangitis caused by reflux of food residues like ours, surgical treatment should be considered because tract conversion may be an effective solution.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A case of postoperative recurrent cholangitis after pancreaticoduodenectomy successfully treated by tract conversion surgery

Shiihara¹,

Miura²,

Konishi³

et al. 2016

J. surg. case rep.

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“…More recently there are published cases of robotic assisted laparoscopic conversion [9] . The reported prevalence of sump syndrome after hepaticoduodenostomy is about 10% [10] , [11] , [12] , [13] . This complication is traditionally managed endoscopically with balloon dilatation of the strictured anastomosis [14] but, in a patient with altered GI anatomy due to RYGB, endoscopic approaches are not feasible.…”

Section: Discussionmentioning

confidence: 99%

Hepaticojejunostomy for the management of sump syndrome arising from choledochoduodenostomy in a patient who underwent bariatric Roux-en-Y gastric bypass: A case report

Alqahtani

Alshammary

Alqahtani

et al. 2016

International Journal of Surgery Case Reports

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“…1,19 This may in fact be the result of a mechanical problem with the anastomosis. 20,21 The incidence of symptoms attributed to enteric reflux can be reduced if an adequately large anastomosis is made. 17,22 Tang et al observed that with the creation of a 20-mm wide stoma, although food debris in the distal common bile duct were detected at ERCP in four patients in their series, there was no evidence of any acute or chronic mucosal inflammation and the debris were easily flushed into duodenum through the stoma.…”

Section: Original Articlementioning

confidence: 99%

Laparoscopic Choledochoduodenostomy: One of Its Kind Operation for Common Bile Duct Stones

et al. 2023

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Introduction: Recently, endoscopic techniques have replaced surgery for management ofcommon bile duct stones. Surgery is mainly reserved for situations where endoscopicexpertise fails or is not available. We describe here our experience with laparoscopiccholedochoduodenostomy and its outcomes in patients with common bile duct stones.Methods: A retrospective chart review of all patients with common bile duct stonesundergoing the operation at Civil Service Hospital, Kathmandu, Nepal between October 1,2012 and September 29, 2022 was done. Clinical, laboratory and radiological data wasreviewed, along with the intraoperative characteristics, complications, hospital readmissionsand follow-up data were recorded.Result: Sixteen patients were operated; mean age of the patients was 49.86+9.28 years(range 37–68 years); there were 10 females (62.5%) and 6 (37.5%) males; most commonpresenting symptom was abdominal pain followed by nausea/vomiting, and fever. There waspast history of failed endoscopic intervention in 3 patients. The mean common bile duct sizeon MRCP was 18+4.3 mm (range 15-23 mm). Two patients (12.5%) needed conversion toopen operation. Mean operative time was 165.47+17.34 min (range 125-210 min), totalhospital stay was10.68+7.43 days (range 6-19 days). Morbidity occurred in 5 patients(31.25%). There was no mortality in the immediate postoperative period and no occurrenceof sump syndrome.Conclusion: Laparoscopic choledochoduodenostomy extends the benefits of minimallyinvasive techniques; though due to the unique sump syndrome occurring in this operation,other techniques have been also adopted, but they are more complex. Ultimately the choiceof biliary bypass depends on the experience and ability of the surgeon. The present serieshas provided acceptable outcomes in these patients, and this is a safe, effective and feasiblebiliary bypass procedure. This series will help us be more prepared for more increasingnumber of complex scenarios like after failed endoscopic interventions or in stones occurringafter Roux-en-Y gastric bypass.

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Choledochoduodenostomy

Cited by 129 publications

References 5 publications

A case of postoperative recurrent cholangitis after pancreaticoduodenectomy successfully treated by tract conversion surgery

A case of postoperative recurrent cholangitis after pancreaticoduodenectomy successfully treated by tract conversion surgery

Hepaticojejunostomy for the management of sump syndrome arising from choledochoduodenostomy in a patient who underwent bariatric Roux-en-Y gastric bypass: A case report

Laparoscopic Choledochoduodenostomy: One of Its Kind Operation for Common Bile Duct Stones

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