Choledochoduodenostomy, choledochojejunostomy or sphincteroplasty for biliary and XXXX .

@entity1 @entity788 @entity1087 @entity2941 @entity5 @entity660 @entity292 @entity253 @entity255
Choledochoduodenostomy, choledochojejunostomy, or sphincteroplasty are used in the treatment of selected @entity1 with retained, recurrent, and impacted bile duct stones; strictures of the bile ducts; stenosis of the sphincter of Oddi; @entity788 associated with @entity253 ; @entity2941 ; @entity292 of the bile duct; and @entity253 , either benign or malignant. From a group of approximately 1600 @entity1 operated on for biliary and @entity660 during the 17-year period, 1962 to 1979, 153 @entity1 who had choledochoduodenostomy, choledochojejunostomy or sphincteroplasty were identified. Follow-up information was available for 146 @entity1 (95%). Overall, 84% of the @entity1 had good results, 10% had fair results, and 3% had poor results. A 3% postoperative mortality rate was found, all in @entity1 with unresectable @entity5 . Treatment of bile duct obstruction, benign or malignant, was equally effective by choledochoduodenostomy or choledochojejunostomy. @entity1087 resolved in all @entity1 ; three @entity1 with benign strictures required reoperations for recurrent stricture formation, two after choledochoduodenostomy, and one after choledochojejunostomy. Recurrent @entity255 heralded the development of another stricture. Both choledochoduodenostomy and sphincteroplasty were used for @entity1 with retained, recurrent or impacted duct stones. @entity788 did not occur in any @entity1 after sphincteroplasty; the sump syndrome was not seen after choledochoduodenostomy. This review supports the view that choledochoduodenostomy is a safe and effective procedure. All three operative procedures were effective for the problems for which they were used; each procedure has a place in the treatment of recurrent or complicated biliary and @entity660 . The procedures are complementary, not competitive. For certain problems, the operation performed depends upon the surgeon's preference and experience. The indications for and results of these operative procedures are discussed.
