RT Book, Section
A1 Ellison, E. Christopher
A1 Zollinger, Jr., Robert M.
A1 Pawlik, Timothy M.
A1 Vaccaro, Patrick S.
A1 Bitans, Marita
A1 Baker, Anthony S.
SR Print(0)
ID 1187822231
T1 Choledochoduodenostomy
T2 Zollinger’s Atlas of Surgical Operations, 11e
YR 2022
FD 2022
PB McGraw-Hill Education
PP New York, NY
SN 9781260440850
LK accesssurgery.mhmedical.com/content.aspx?aid=1187822231
RD 2024/04/25
AB Choledochoduodenostomy  is  indicated  for  the  treatment  of  primary  common  bile  duct  stones  with  a  dilated  common  bile  duct  as  well  as  benign  strictures  of  the  distal  bile  duct.  It  is  favored  by  many  surgeons  in  place  of  the  transduodenal  approach  for  stones  impacted  in  the  ampulla.  The  procedure  should  not  be  considered  for  a  nondilated  common  duct,  recurrent  pancreatitis,  sclerosing  cholangitis,  and  common  bile  duct  stone  amenable  to  endoscopic  removal.  The  procedure  of  choledochoduodenostomy  in  properly  selected  patients  may  be  far  safer,  with  more  satisfactory  long-term  results,  than  those  of  more  complicated  procedures.