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Related Concept Videos

Peptic Ulcer Disease V: Surgical Management and Nursing Care01:25

Peptic Ulcer Disease V: Surgical Management and Nursing Care

Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding01:15

Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding

Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube through...
Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:

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Related Experiment Video

Updated: Jun 4, 2026

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
04:14

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults

Published on: February 28, 2025

Choledochoduodenostomy: is it really so bad?

William McIver Leppard1, Thomas Michael Shary, David B Adams

  • 1Medical University of South Carolina, 96 Jonathan Lucas Street, 420 Clinical Science Building, Charleston, SC 29425, USA. leppard@musc.edu

Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract
|February 25, 2011
PubMed
Summary

Choledochoduodenostomy (CDD) is a safe and effective procedure for benign bile duct strictures. Sump syndrome, a feared complication, is rare, with low morbidity and acceptable long-term outcomes.

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Modified Single-Loop Reconstruction for Pancreaticoduodenectomy
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Modified Single-Loop Reconstruction for Pancreaticoduodenectomy

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Modified Single-Loop Reconstruction for Pancreaticoduodenectomy
13:01

Modified Single-Loop Reconstruction for Pancreaticoduodenectomy

Published on: September 28, 2019

Area of Science:

  • Gastroenterology
  • Surgical Gastroenterology
  • Hepatobiliary Surgery

Background:

  • Choledochoduodenostomy (CDD) is a surgical procedure for benign distal common bile duct strictures.
  • Concerns exist regarding
  • sump syndrome,
  • a complication attributed to bile stasis and duodenal reflux.
  • The actual incidence and severity of sump syndrome are not well-established.

Purpose of the Study:

  • To evaluate the safety and efficacy of choledochoduodenostomy (CDD) for benign distal common bile duct strictures.
  • To assess the incidence and morbidity associated with sump syndrome following CDD.
  • To determine the long-term outcomes of CDD in patients with benign pancreatobiliary disease.

Main Methods:

  • Retrospective chart review of 79 patients undergoing side-to-side CDD for benign conditions between 1994 and 2008.
  • Data collection focused on surgical indications, perioperative course, and long-term results.
  • Long-term outcomes were assessed via clinical reports, emergency room visits, and hospital readmissions.

Main Results:

  • The study included 79 patients (65% male, mean age 52 years) with indications including chronic pancreatitis (80%).
  • No perioperative mortality was observed. Postoperative complications occurred in 19% of patients.
  • Long-term follow-up (mean 6.2 years) revealed no cholangitis; two patients (2.5%) developed hepatic abscess, managed non-surgically.

Conclusions:

  • Choledochoduodenostomy (CDD) is a safe and effective procedure for decompressing the distal common bile duct in benign pancreatobiliary disease.
  • Long-term results are acceptable, with sump syndrome being an infrequent complication.