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Choledochoduodenostomy: influence of risk factors in post-operative morbidity.

Publication ,  Journal Article
Ravindra, KV; Kapoor, R; Sikora, SS; Saxena, R; Kapoor, VK; Kaushik, SP
Published in: Indian J Gastroenterol
January 1996

BACKGROUND: Choledochoduodenostomy is performed for a variety of lower common bile duct lesions. AIMS: To analyse the influence of risk factors on the post-operative morbidity following choledochoduodenostomy. METHODS: Relation of risk factors including age more than 60 years, medical Illness, hemoglobin less than 10 g/dL, albumin less than 3 g/dL, bilirubin more than 10m/dL, presence of cholangitis at admission (treated pre-operatively), use of pre-operative endoscopic sphincterotomy and common bile duct diameter at surgery were related to the occurrence of post-operative morbidity was studied using univariate analysis. RESULTS: Fifty patients underwent choledochoduodenostomy. One patient (2%) died; major post-operative morbidity occurred in 12 patients (24%). Presence of cholangitis at admission was the only factor related (p = 0.00012) to the occurrence of post-operative morbidity. No long-term complications were encountered in 35 patients (70%) mean with followup period of 28 (range 8-60) months. CONCLUSIONS: Choledochoduodenostomy is a safe permanent drainage procedure for benign lower biliary obstruction.

Duke Scholars

Published In

Indian J Gastroenterol

ISSN

0254-8860

Publication Date

January 1996

Volume

15

Issue

1

Start / End Page

4 / 6

Location

India

Related Subject Headings

  • Time Factors
  • Risk Factors
  • Postoperative Complications
  • Morbidity
  • Middle Aged
  • Male
  • Humans
  • Follow-Up Studies
  • Female
  • Common Bile Duct Diseases
 

Citation

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Ravindra, K. V., Kapoor, R., Sikora, S. S., Saxena, R., Kapoor, V. K., & Kaushik, S. P. (1996). Choledochoduodenostomy: influence of risk factors in post-operative morbidity. Indian J Gastroenterol, 15(1), 4–6.
Ravindra, K. V., R. Kapoor, S. S. Sikora, R. Saxena, V. K. Kapoor, and S. P. Kaushik. “Choledochoduodenostomy: influence of risk factors in post-operative morbidity.Indian J Gastroenterol 15, no. 1 (January 1996): 4–6.
Ravindra KV, Kapoor R, Sikora SS, Saxena R, Kapoor VK, Kaushik SP. Choledochoduodenostomy: influence of risk factors in post-operative morbidity. Indian J Gastroenterol. 1996 Jan;15(1):4–6.
Ravindra, K. V., et al. “Choledochoduodenostomy: influence of risk factors in post-operative morbidity.Indian J Gastroenterol, vol. 15, no. 1, Jan. 1996, pp. 4–6.
Ravindra KV, Kapoor R, Sikora SS, Saxena R, Kapoor VK, Kaushik SP. Choledochoduodenostomy: influence of risk factors in post-operative morbidity. Indian J Gastroenterol. 1996 Jan;15(1):4–6.
Journal cover image

Published In

Indian J Gastroenterol

ISSN

0254-8860

Publication Date

January 1996

Volume

15

Issue

1

Start / End Page

4 / 6

Location

India

Related Subject Headings

  • Time Factors
  • Risk Factors
  • Postoperative Complications
  • Morbidity
  • Middle Aged
  • Male
  • Humans
  • Follow-Up Studies
  • Female
  • Common Bile Duct Diseases