Document Detail

Reoperations after choledochoduodenostomy: a new approach.
MedLine Citation:
PMID:  6853085     Owner:  NLM     Status:  MEDLINE    
Reoperation after choledochoduodenostomy was performed in seven cases. Stenosis of the anastomosis, bile duct stones, cholangitis and stump syndrome were found in five cases. In the first two cases, disconnection of the choledochoduodenostomy and sphincteroplasty were performed: one patient died of duodenal leakage. In the third case, retrograde sphincteroplasty was performed with lethal failure. In the following four cases, a new approach which consisted of antropyloroduodenotomy, catheter guided sphincteroplasty, extraction of stones and debris, and reconstruction with a Finney gastroduodenostomy was used. Endoluminal suture of previous choledochoduodenostomy was also performed in three cases and vagotomy in two. This approach resulted in no mortality and the results were excellent in all cases. The patients were followed up for from nine months to three and a half years. The authors found this endoluminal approach an easier and safer surgical procedure.
J M Beltran de Heredia; P R Gago
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  International surgery     Volume:  68     ISSN:  0020-8868     ISO Abbreviation:  Int Surg     Publication Date:    1983 Jan-Mar
Date Detail:
Created Date:  1983-07-08     Completed Date:  1983-07-08     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0043524     Medline TA:  Int Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  59-62     Citation Subset:  IM    
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MeSH Terms
Cholelithiasis / surgery*
Common Bile Duct / surgery*
Constriction, Pathologic
Duodenum / surgery*
Middle Aged
Postoperative Complications
Sphincter of Oddi / surgery

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