Long-Term Results of Choledochoduodenostomy
Author Information
Author(s): Escudero-Fabre, A., Escallon, A., Sack, J., Halpern, N.B., Aldrete, J.S.
Primary Institution: University Department of Surgery, Dudley Road Hospital
Hypothesis
To investigate the long-term effectiveness of choledochoduodenostomy (CDD).
Conclusion
Choledochoduodenostomy is effective for treating non-neoplastic obstructing lesions of the distal common bile duct on a long-term basis.
Supporting Evidence
- 71 patients were followed for 5 to 15 years after surgery.
- Cholangitis was observed in only three patients.
- 6% of patients died in the immediate postoperative period.
Takeaway
This study looked at patients who had a specific surgery to help with bile duct problems, and it found that the surgery worked well for a long time.
Methodology
Retrospective analysis of 71 patients followed for 5 or more years after choledochoduodenostomy.
Potential Biases
Potential bias due to the inclusion of patients with cancer.
Limitations
Some patients with cancer were included in the analysis, which may affect the results.
Participant Demographics
Patients who underwent choledochoduodenostomy from 1968 to 1984.
Statistical Information
Confidence Interval
12.1 years ± 1.3 SEM
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