Supraduodenal choledoduodenostomy versus endoscopic sphincterotomy in the management of choledocholithiasis in cholecystectomized patients [a prospective trial]

ABSTRACT

This study included managing choledocholithiasis in a cholecystectomized patients by 2 different modalities in 2 different centers. Both groups were matching together according to age, sex and liver function test. Group A included 21 patients managed by supraduodenal choledochoduodenostomy. Their mean age was 39.6 +/- 3.2 years. The mean diameter of the common bile duct was 14.9 +/- 0.9 mm. The success rate was 95% and the morbidity rate was 19%. Only a single patient was reoperated upon due to retained stone causing cholangitis. Group B included 19 patients managed by ERCP. Their mean age was 37.4 +/- 4.7 years. The success rate was 89% and the morbidity rate was 31.6%. There was no mortality in both groups. This study recommend that patients with choledocholithiasis after cholecystectomy should be assessed by the surgeon and the endoscopist to get the perfect decision in their management. Also, that both methods proved to be complementary and not competitive