A Prospective Study on Different Biliary Diversions in Common Bile Duct Stones

نویسندگان

  • Rajesh Kumar Dora
  • Gorachand Murmu
  • Santosh Kumar Behera
  • Sumeet Deshpande
  • Ankur Anand
چکیده

Background: Choledocholithiasis leads to unconjugated hyper bilirubinemia which is manifested as intermittent jaundice. This type of jaundice is known as obstructive or surgical jaundice. The aim of this study is to evaluate the effectiveness and safety of Biliary Diversions in Choledocholithiasis. Methods: 50 Cases were selected for this study. A suitable biliary bypass was done in each case and the patients were evaluated in the post-operative period by clinical examination, biochemical parameters and ultrasonography. The follow up period was 6 months to one year. The duration of postoperative hospital stay was documented. The relative merits and demerits of each procedure were assessed and the results were documented. Results: Choldochoduodenostomy is a safe and regular procedure done as a biliary diversion in cases of choledocholithiasis. Morbidity and mortality is less associated with this procedure. Duration of hospital stay is less. Hence return to work is early. Conclusion: Choldochoduodenostomy procedure can be considered as a first line surgical management technique in patients of choledocholithiasis.

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تاریخ انتشار 2017