Choledochoduodenostomy, its role in the management of patients with gall bladder stones

ABSTRACT

413 patients presented with benign biliary tract pathology. Out of 328 patients who have had cholecystectomy performed for gall bladder stones, 16 had choledocho-duodenostomy done. 85 patients had calcular obstructive jaundice and out of these, 26 patients had choledocho-duodenostomy. In total 42 patients had choledocho-duodenostomy done for various indications. There was no postoperative mortality. Postoperative complications occurred in 8 patients [19%]. The follow up period varied between one and eight years. During this period seven patients died due to casuses other than their biliary tract condition. The remaining 35 patients are symptom free up to the last follow up visit. This study has shown that there is still a place for such procedure in the management of patients with benign biliary tract pathology. It proved to be a safe procedure with no mortality, in this series, and an insignificant morbidity