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Choledocoduodenostomy and The Sump Syndrome (2 of 10)

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2011-09-20 17:58:00
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EndoAtlas

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EndoAtlas
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Choledocoduodenostomy stump syndrome endoscopy duodenum biliary tree

The role of choledochoduodenostomy (CDD) in the management of lower common bile duct (CBD) obstruction is controversial because of the long-term complications such as ascending cholangitis, sump syndrome and alkaline reflux gastritis. In spite of the good long-term results observed in some studies, CDD is considered a last trial for lower CBD obstruction. Indications for choledochoduodenostomy were: multiple or irremovable common or hepatic duct stones, doubtfulness of complete clearing of the duct, primary common bile duct stones or mud and sludge, a grossly dilated biliary duct system, and ampullary stenosis.



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