Annals of the Royal College of Surgeons of England (1987) vol. 68
Long term follow-up of patients with side side choledochoduodenostomy and
to
transduodenal sphincteroplasty ANTONY R BAKER MA FRCS Lecturer in Surgegy
JOHN P NEOPTOLEMOS MA Ml) FRCS Senior Surgical Registrar
TREVOR LEESE
MA FRCS
Lecturer in Surgery
DEREK CJAMES
FRCR
Consultant Radiologist
DAVID P FOSSARD MI) FRCS Consultant Surgeon Leicester Royal Infirmary Key words: CHOIANGI[IS; (,HOIEIC('YS'1'1,(,'I'COMY; CHOLECIYSTIT' IS; CHOIEIII'THIASIS; COMMON BIlE, I)UCI CALCUIA
Summary From a conseculive series of 190 palients wilh choledochoduodenoslomy (CDD) and 56 patients with transduodenal sphincleroplasty (TDS), there were 10 and 3 hospital dealhs respectively. A long lerm follow-up study was performed on the remainder. Lale deaths occurred in 35 CDD and 5 TDS palients. Serious long term complications occurred in 3.3% of CDD cases, comprising 5 cases of 'sump syndrome' and afurther case ofcholangilis in the presence of a clear biliary tree. Cholangilis occurred in 2 of the TDS patients (3.8%). Recurrent common duct stones were found in 3 of the 'sump syndrome' cases (1.6%) and one of the TDS palients wilh cholangilis (1.9%). Eighty-eighl per cent of the CDD palients and 90.2% of the TDS patients, who were reviewed, were subjectively well. Serum alkaline phosphalase was raised in 21.6% of the CDD palients and only 3.4% of the TDS group (P
