Evaluation of choledochoduodenostomy in the treatment of malignant obstruction of the biliary tree

D. L. Kaminski, H. B. Barner, J. E. Codd, Bruce Wolfe

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

The results of direct decompression of the common duct for malignant obstruction of the distal biliary tree by side-to-side choledochoduodenostomy are presented. Thirty-three patients were treated with twenty-four (73 per cent) having carcinoma of the pancreas. Seventy-two per cent of the patients had had previous cholecystectomy or cholelithiasis whereas the common duct was utilized in preference to cholecystojejunostomy in six patients. The operative mortality was 12 per cent and six patients had complications. No deaths could be attributed to the choledochoduodenostomy, and complications did not significantly affect palliation. Mean postoperative survival was 10 ± 0.9 months. Two patients had obstruction of the anastomosis as a terminal event. This study suggests that appropriately applied choledochoduodenostomy is a simple, effective means to decompress the common duct obstructed by tumor.

Original languageEnglish (US)
Pages (from-to)565-566
Number of pages2
JournalThe American Journal of Surgery
Volume132
Issue number5
DOIs
StatePublished - 1976
Externally publishedYes

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Choledochostomy
Biliary Tract
Therapeutics
Cholelithiasis
Cholecystectomy
Decompression
Pancreas
Carcinoma
Survival
Mortality
Neoplasms

ASJC Scopus subject areas

  • Surgery

Cite this

Evaluation of choledochoduodenostomy in the treatment of malignant obstruction of the biliary tree. / Kaminski, D. L.; Barner, H. B.; Codd, J. E.; Wolfe, Bruce.

In: The American Journal of Surgery, Vol. 132, No. 5, 1976, p. 565-566.

Research output: Contribution to journalArticle

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