JOHN P NEOPTOLEMOS MA Ml) FRCS. Senior Surgical Registrar. TREVOR LEESE MA FRCS. Lecturer in Surgery. DEREK CJAMES FRCR. Consultant ...
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
