RT Book, Section
A1 Ellison, E. Christopher
A1 Zollinger, Robert M.
SR Print(0)
ID 1127273293
T1 CHOLEDOCHODUODENOSTOMY
T2 Zollinger's Atlas of Surgical Operations, 10e
YR 2016
FD 2016
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-179755-9
LK accesssurgery.mhmedical.com/content.aspx?aid=1127273293
RD 2024/04/19
AB This  is  a  procedure  favored  by  many  in  place  of  the  transduodenal  approach  for  stones  impacted  in  the  ampulla,  and  is  indicated  for  the  treatment  of  primary  common  bile  duct  stones  with  a  dilated  common  bile  duct,  or  benign  strictures  of  the  distal  bile  duct.  The  procedure  should  not  be  considered  for  a  nondilated  common  duct,  recurrent  pancreatitis,  sclerosing  cholangitis,  or  common  bile  duct  stone  amenable  to  endoscopic  removal.  The  procedure  of  choledochoduodenostomy  in  properly  selected  patients  may  be  far  safer,  with  long-term  results  more  satisfactory,  than  those  that  follow  more  complicated  procedures  for  the  excision  of  diverticuli.