Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Search research articles

Related Experiment Videos

Choledochoduodenostomy as an adjunct to choledocholithotomy.

C J Schein, N Shapiro, M L Gliedman

Surgery, Gynecology & Obstetrics

|January 1, 1978

Summary

Choledochoduodenostomy is a safe and effective surgical bypass for common bile duct stones, offering advantages over T-tube intubation. This procedure allows for better management of retained stones and obstructive disease, with no significant complications observed.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Description of Alicyclobacillus montanus sp. nov., a mixotrophic bacterium isolated from acidic hot springs.

International journal of systematic and evolutionary microbiology·2018

Same author

Draft Genome Sequence of Raoultella terrigena R1Gly, a Diazotrophic Endophyte.

Genome announcements·2015

Same author

New approach to detect seismic surface waves in 1Hz-sampled GPS time series.

Scientific reports·2012

Same author

[Primary carcinoma of body and tail of pancreas with tumor necrosis].

Cincinnati journal of medicine·2010

Same author

The future of cytopathology in Europe. Will the wider use of HPV testing have an impact on the provision of cervical screening?

Cytopathology : official journal of the British Society for Clinical Cytology·2007

Same author

Lethality of standard total parenteral nutrition following major liver resection in rats is prevented by high arginine and high branched chain amino acids but not by glutamine.

Journal of the Association for Academic Minority Physicians : the official publication of the Association for Academic Minority Physicians·2002

Area of Science:

Gastroenterology
Surgical Procedures
Biliary Tract Diseases

Background:

Choledochoduodenostomy is a surgical procedure for managing common bile duct (CBD) calculus-related diseases.
Traditional T-tube intubation has limitations in managing retained stones and sequelae of distal CBD obstruction.

Purpose of the Study:

To evaluate the safety and efficacy of choledochoduodenostomy in patients with calculus-related CBD disease.
To compare the outcomes of choledochoduodenostomy with T-tube intubation for choledocholithiasis.

Main Methods:

A retrospective analysis of 100 patients who underwent choledochoduodenostomy for CBD calculus disease.
Assessment of early and late complications, mortality, and postoperative evaluation capabilities.

Main Results:

No significant early or late complications were observed related to the choledochoduodenostomy procedure itself.
The 3% mortality rate was attributed to pre-existing advanced liver disease or intra-abdominal sepsis, not the anastomosis.
The procedure effectively circumvented retained stones and distal CBD obstruction, allowing for postoperative evaluation.

Conclusions:

Choledochoduodenostomy with a wide anastomosis is advantageous for managing choledocholithiasis when the CBD is at least 1.4 cm wide.
It offers superior therapeutic and prophylactic benefits compared to T-tube intubation.
The technique avoids issues like cholangitis, blind segment disability, and malfunction seen with other methods.

Related Experiment Videos