Choledochojejunostomy is a procedure for creating an anastomosis of the common bile duct (CBD) to the jejunum, performed to relieve symptoms of biliary obstruction and restore continuity to the biliary tract.
What is sump syndrome?
Sump syndrome is an uncommon complication of a side-to-side choledochoduodenostomy in which food, stones, or other debris accumulate in the CBD and thereby obstruct normal biliary drainage.
How is Cholangiography performed?
Topic Overview. During surgery to remove the gallbladder (cholecystectomy), you may have a procedure called intraoperative cholangiogram. The doctor places a small tube called a catheter into the cystic duct, which drains bile from the gallbladder into the common bile duct.
Is ERCP a Cholangiogram?
Endoscopic retrograde cholangiopancreatography (ERCP) and intraoperative cholangiography (IOC) are tests used in the diagnosis of common bile duct stones in people suspected of having common bile duct stones.
What is Hepaticojejunostomy?
A hepaticojejunostomy is the surgical creation of a communication between the hepatic duct and the jejunum; a choledochojejunostomy is the surgical creation of a communication between the common bile duct (CBD) and the jejunum. Oskar Sprengel published the first report of a choledochoenterostomy in 1891.
What is a Choledochoenterostomy?
[ kə-lĕd′ə-kō-ĕn′tə-rŏs′tə-mē ] n. The surgical formation of a communication between the common bile duct and any part of the intestine.
What is a sump in medicine?
1. to withdraw liquid gradually. 2. any device by which a channel or open area may be established for exit of fluids or purulent material from a cavity, wound, or infected area. See also wound healing.
What is choledochoduodenostomy (CDD)?
( August 2020) Choledochoduodenostomy (CDD) is a surgical procedure to create an anastomosis, a surgical connection, between the common bile duct (CBD) and an alternative portion of the duodenum.
What is the approach to the pancreatic duct for choledochoduodenostomy?
The approach to the pancreatic duct is the same as for standard ERCP. Choledochoduodenostomy is a simple form of surgery that provides midextrahepatic bile duct drainage for benign conditions such as distal bile duct stricture or recurrent choledocholithiasis.
Is choledochoduodenostomy safe for the treatment of diverticulitis?
The procedure of choledochoduodenostomy in properly selected patients may be far safer, with long-term results more satisfactory, than those that follow more complicated procedures for the excision of diverticuli. Liver function studies are evaluated, and consultation with an endoscopist should be considered.
Is choledochoduodenostomy a palliative treatment for biliary obstruction?
Choledochoduodenostomy and choledochojejunostomy are palliative measures to alleviate symptoms related to biliary obstruction. Reconstructive surgery does not have a beneficial effect on the natural history of PSC, particularly in patients with advanced liver disease.
