PMID- 23724404
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20130603
LR  - 20211021
IS  - 2250-1541 (Print)
IS  - 1947-2714 (Electronic)
IS  - 1947-2714 (Linking)
VI  - 5
IP  - 4
DP  - 2013 Apr
TI  - Open Choldecho-Enterostomy for Common Bile Duct Stones: Is it Out of Date in 
      Laparo-Endoscopic Era?
PG  - 288-92
LID - 10.4103/1947-2714.110438 [doi]
AB  - BACKGROUND: Nowadays, biliary-enteric drainage (BED) is regarded as a last resort 
      or obsolete therapeutic method for common bile duct stone (CBDS) not only because 
      of advances in minimally invasive therapeutic modalities but also due to fears of 
      higher morbidity, cholangitis, and "sump" syndrome. AIM: The present study aimed 
      at evaluating the outcome of this procedure for choledocholithiasis. MATERIALS 
      AND METHODS: It is a retrospective review of 51 patients who underwent open 
      choledochoenterostomy for CBDS between January 2005 and December 2009. RESULTS: 
      About 40 women (78%) and 11 men underwent open BED (mean age 72 years). 
      Indications were elderly patients (90%), multiple stones (54.9%) and 
      unextractable calculi (15.4%). We performed 49 (96%) side to side 
      choledochoduodenostomies, one end to side choledochoduodenostomy (CDS) and one 
      end to side hepaticojejunostomy. The mortality rate was 3.9%. Overall morbidity 
      was 12% with no biliary leakage. With a decline of 1-6 years, neither sump 
      syndrome nor cholangiocarcinoma occurred. CONCLUSIONS: Side-to-side CDS is a safe 
      and highly effective therapeutic measure, even when performed on ducts less than 
      15 mm wide, provided a few technical requirements are respected. Patients 
      experiencing relapsing cholangitis after BED should be closely monitored for the 
      late development of biliary tract malignancies.
FAU - Abdelmajid, Khnissi
AU  - Abdelmajid K
AD  - Department of General Surgery, Professor Rached Letaief at Farhat Hached 
      Hospital, Sousse, Tunisia.
FAU - Houssem, Harbi
AU  - Houssem H
FAU - Rafik, Ghrissi
AU  - Rafik G
FAU - Jarrar, Mohamed S
AU  - Jarrar MS
FAU - Fehmi, Hamila
AU  - Fehmi H
LA  - eng
PT  - Journal Article
PL  - India
TA  - N Am J Med Sci
JT  - North American journal of medical sciences
JID - 101521411
PMC - PMC3662096
OTO - NOTNLM
OT  - Cholangiocarcinoma
OT  - Cholangitis
OT  - Choledochoduodenostomy
OT  - Sump syndrome
COIS- Conflict of Interest: None declared.
EDAT- 2013/06/01 06:00
MHDA- 2013/06/01 06:01
PMCR- 2013/04/01
CRDT- 2013/06/01 06:00
PHST- 2013/06/01 06:00 [entrez]
PHST- 2013/06/01 06:00 [pubmed]
PHST- 2013/06/01 06:01 [medline]
PHST- 2013/04/01 00:00 [pmc-release]
AID - NAJMS-5-288 [pii]
AID - 10.4103/1947-2714.110438 [doi]
PST - ppublish
SO  - N Am J Med Sci. 2013 Apr;5(4):288-92. doi: 10.4103/1947-2714.110438.