When do you do Choledochoduodenostomy?
Choledochoduodenostomy, choledochojejunostomy, or sphincteroplasty are used in the treatment of selected patients with retained, recurrent, and impacted bile duct stones; strictures of the bile ducts; stenosis of the sphincter of Oddi; pancreatitis associated with biliary disease; choledochal cysts; fistulas of the …
Why is Choledochoduodenostomy done?
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.
What is Choledochoenteric anastomosis?
In choledochojejunostomy, an anastomosis of the bile duct to a loop of jejunum is performed. Cholecystojejunostomy consists of anastomosis of the gallbladder to a jejunal loop. These have largely been superseded by endoscopic stent placement.
What is a Colocolostomy?
[ kō′lə-kə-lŏs′tə-mē ] n. The surgical formation of a communication between two noncontinuous segments of the colon.
What is Cholecystojejunostomy?
[ kō′lĭ-sĭs′tō-jə-jōō′nŏs′tə-mē, -jē′ju-, -jĕj′u- ] n. The surgical formation of a communication between the gallbladder and the jejunum.
What is a choledochoduodenostomy?
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. In healthy individuals, the CBD meets the pancreatic duct at the ampulla of Vater, which drains via the major duodenal papilla to the second part of 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.
What is a choledochojejunostomy (CDD) for pancreatic cancer?
As an alternative, a choledochojejunostomy can be performed. Malignant cell growth, such as a pancreatic head tumor, can prevent proper repositioning of the duodenum to be in close contact with the bile duct. Performing a CDD may lead to a tension-filled surgical anastomosis, leading to bile leakage and jaundice.
How is direct choledochoscopy performed in the workup of cholecystitis?
Direct choledochoscopy through the choledochoduodenostomy can be done with an ultrathin upper endoscope and is sometimes required to inspect the distal and proximal bile duct segments and to perform electrohydraulic lithotripsy.