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Concept: When to Perform Other Operations on the Common Bile Duct (CBD)

  • Jameson L. Chassin

Abstract

When stones are found in the bile ducts long after the first CBD operation has been done, the T-tube tract is healed and Burhenne’s method of retrieval cannot be applied. The options then available to the surgeon are: endoscopic radiographic cholangio-pancreatogram (ERCP)-papillotomy, transabdominal choledocholithotomy, biliary-intestinal bypass, or sphincteroplasty. The pros and cons of these procedures are discussed below.

Keywords

Common Bile Duct Bile Duct Stone Common Bile Duct Exploration Distal Common Bile Duct Biliary Dyskinesia 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. Akiyama H, Ikezawa S, Kameya S et al. Unexpected problems of external choledochoduodenostomy: fiber-scopic examination in 15 patients. Am J Surg 1980; 140: 660.PubMedCrossRefGoogle Scholar
  2. Bartlett MK, Nardi GL. Treatment of recurrent pancreatitis by transduodenal sphincterotomy and exploration of the pancreatic duct. N Engl J Med 1960;262:643.PubMedCrossRefGoogle Scholar
  3. Bergdahl L, Holmlund DEW. Retained bile duct stones. Acta Chir Scand 1976; 142:145.PubMedGoogle Scholar
  4. Bismuth H, Franco D, Corlette MB et al. Long term results of Roux-en-y hepaticojejunostomy. Surg Gynecol Obstet 1978; 146:161.PubMedGoogle Scholar
  5. Burhenne HJ. Nonoperative retained biliary tract stone extraction: a new roentgenologic technique. Am J Roentgenol Radium Ther Nucl Med 1973; 117:388.PubMedCrossRefGoogle Scholar
  6. Dayton MT, Traverso LW, Longmire WP Jr. Efficacy of the gallbladder for drainage in biliary obstruction: a comparison of malignant and benign disease. Arch Surg 1980; 115:1086.PubMedCrossRefGoogle Scholar
  7. Degenshein GA. Choledochoduodenostomy: an 18 year study of 175 consecutive cases. Surgery 1974;76:319.PubMedGoogle Scholar
  8. Girard RM, Legros G. Retained and recurrent bile duct stones; surgical or nonsurgical removal? Ann Surg 1981;193:150.PubMedCrossRefGoogle Scholar
  9. Hutchinson WB. Duodenotomy. Am J Surg 1971;122:777.PubMedCrossRefGoogle Scholar
  10. Jones SA. The prevention and treatment of recurrent bile duct stones by transduodenal sphincteroplasty. World J Surg 1978;2:473.PubMedCrossRefGoogle Scholar
  11. Kraus MA, Wilson SD. Choledochoduodenostomy: importance of common duct size and occurrence of cholangitis. Arch Surg 1980;115:1212.PubMedCrossRefGoogle Scholar
  12. Longmire WP Jr. The diverse causes of biliary obstruction and their remedies. Curr Probl Surg 1977; 14:5.CrossRefGoogle Scholar
  13. Madden LJ. Primary common bile duct stones. World J Surg 1978;2:465.PubMedCrossRefGoogle Scholar
  14. Moody FG, Berenson MM, McCloskey D. Transam-pullary septectomy for postcholecystectomy pain. Ann Surg 1977;186:415.PubMedCrossRefGoogle Scholar
  15. Nardi GL, Acosta JM. Papillitis as a cause of pancreatitis and abdominal pain: role of evocative test, operative pancreatography and histologic evaluation. Ann Surg 1966; 164:611.PubMedCrossRefGoogle Scholar
  16. Nardi GL, Michelassi F, Zanni P. Transduodenal sphincteroplasty. Ann Surg 1983; 198:453.PubMedCrossRefGoogle Scholar
  17. Partington PF. Twenty-three years experience with sphincterotomy and sphincteroplasty for stenosis of the sphincter of Oddi. Surg Gynecol Obstet 1977; 145:161.PubMedGoogle Scholar
  18. Reiter JJ, Bayer HP, Mennicken C et al. Results of endoscopic papillotomy: a collective experience from nine endoscopic centers in West Germany. World J Surg 1978;2:505.PubMedCrossRefGoogle Scholar
  19. Rolfsmeyer ES, Bubrick MP, Kollitz PR et al. The value of operative cholangiography. Surg Gynecol Obstet 1982; 154:369.PubMedGoogle Scholar
  20. Saharia PC, Zuidema GD, Cameron JL. Primary common duct stones. Ann Surg 1977;185:598.PubMedCrossRefGoogle Scholar
  21. Schein CJ. Postcholecystectomy syndromes. New York: Harper & Row; 1978.Google Scholar
  22. Schein CJ, Gliedman ML. Choledochoduodenostomy as an adjunct to choledocholithotomy. Surg Gynecol Obstet 1981;152:797.PubMedGoogle Scholar
  23. Thomas CG Jr, Nicholson CP, Owen J. Effectiveness of choledochoduodenostomy and transduodenal sphincterotomy in the treatment of benign obstruction of the common duct. Ann Surg 1971; 173:845.PubMedCrossRefGoogle Scholar
  24. White TT. Indications for sphincteroplasty as opposed to choledochoduodenostomy. Am J Surg 1973; 126:165.PubMedCrossRefGoogle Scholar
  25. White TT, Harrison RC. Reoperative gastrointestinal surgery. Boston: Little, Brown; 1973.Google Scholar

Copyright information

© Springer Science+Business Media New York 1994

Authors and Affiliations

  • Jameson L. Chassin
    • 1
    • 2
  1. 1.Clinical SurgeryNew York University School of MedicineNew YorkUSA
  2. 2.Department of SurgeryNew York Hospital Medical Center of QueensFlushingUSA

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