Duodenotomy. A surgical approach to disease at the crossroads of the digestive system

Rutherford, Robert B.; Owens, J. Cuthbert

doi:10.1016/s0002-9610(66)90648-9

The American Journal of Surgery

1966

DOI: 10.1016/s0002-9610(66)90648-9

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Duodenotomy. A surgical approach to disease at the crossroads of the digestive system

Robert B. Rutherford

J. Cuthbert Owens

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1968

1978

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Cited by 3 publications

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Sphincterplasty in the treatment of biliary and pancreatic disease

Rothwell-Jackson

1968

Journal of British Surgery

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FEW operations are more distressing to the patient bile-duct in almost 75 per cent. These figures and the surgeon alike than re-exploration of the suggest that the standard methods of exploring the biliary passages. Preston (1959, reporting on 74 biliary passages are frequently inadequate. consecutive and unselected postoperative cholangioThis article puts forward the case for duodenograms, found that 43 per cent showed persistent tomy and transduodenal choledochoduodenostomy abnormalities at the distal end of the common bile-(sphincterplasty) as a useful and reliable surgical duct and residual stones were demonstrated in procedure to ensure patency of the biliary passages 24 per cent. Other reports on the incidence of recurrent or residual stones in the biliary passages give a figure of between 2 and 28 per cent. Moreover, the incidence of recurrent or residual stones is higher after a previous positive exploration of the common bile-duct than after a negative exploration, and a history of multiple operations on the hiliary passages is not infrequent in these patients (Jones, Smith, Keller, and Joergenson, 1963). In 69 patients requiring secondary exploration of the biliary passages, Mongk (1966) found stones in the common

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Sphincterplasty in the treatment of biliary and pancreatic disease

Rothwell-Jackson

1968

Journal of British Surgery

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Sphincterplasty of ampulla of vater. A safe technique

Hutchison

1969

Journal of British Surgery

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The selective use of combined supraduodenal and transduodenal exploration of the common bile duct

Aubrey

Edwards

1978

Journal of British Surgery

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The results of combined supraduodenal and transduodenal exploration of the common bile duct in 42 selected cases are presented. The indications for this operation were: the presence of multiple calculi in the common bile duct; stones impacted in the ampullary region; residual stones in the common bile duct following previous surgery on the biliary tract; stricture at the papilla and pancreatitis associated with cholelithiasis. After the procedure no patient had residual stones in the common bile duct. Serious complications were infrequent; there were no postoperative deaths and post-operative pancreatitis occurred in only one patient.

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Duodenotomy. A surgical approach to disease at the crossroads of the digestive system

Cited by 3 publications

References 18 publications

Sphincterplasty in the treatment of biliary and pancreatic disease

Sphincterplasty in the treatment of biliary and pancreatic disease

Sphincterplasty of ampulla of vater. A safe technique

The selective use of combined supraduodenal and transduodenal exploration of the common bile duct

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