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Transduodenal sphincteroplasty versus choledochoduodenostomy in management of lower common bile duct stones
المؤلفون المشاركون
al-Azzawi, Ali H.
al-Jawhar, Muhammad H.
al-Hilfi, Ali D.
المصدر
العدد
المجلد 18، العدد 1 (31 مارس/آذار 2012)، ص ص. 33-39، 7ص.
الناشر
تاريخ النشر
2012-03-31
دولة النشر
العراق
عدد الصفحات
7
التخصصات الرئيسية
الموضوعات
الملخص EN
Common bile ducts stones have been noted in 10-15% of patients with gall stones, these stones are either primary (formed in the common bile duct) or secondary (formed in the gallbladder and migrate down to the common bile duct).
Their management includes ERCP (Endoscopic Retrograde Choler ochopancreatography), biliary drainage procedure and choledochal exploration.
In this interventional study, we compare between trans duodenal sphincteroplasty and choledochoduodenostomy regarding morbidity (anastomotic and duodenal leak, cholangitis, and pancreatitis) and mortality related to each surgical option.
A review of 68 patients with lower common bile duct stones presents with different clinical presentations in an interventional study carried in Basrah General Hospital and Al–Moussawi Private Hospital, 22 patients underwent trans duodenal sphincteroplasty and, 46 patients underwent choledochoduodenostomy.
Both groups received general anesthesia and comparable in age and sex.
Statistical analysis done by SPSS (Statistical Package for Social Sciences) version 18.
Age and sex are comparable in both groups, the incidence of postoperative cholangitis is 9.09 % in the trans duodenal sphincteroplasty group and 32.6 %in choledochoduodenostomy group which is statistically significant (P value 0.01).
The incidence of duodenal and anastomotic leak is 13.6 % and 10.9 % in trans duodenal sphincteroplasty and choledochoduodenostomy group respectively which is statistically not significant (P value 0.707).
The incidence of postoperative pancreatitis is 0 % and 8.7 % in trans duodenal sphincteroplasty and choledochoduodenostomy group respectively which is statistically not significant (P value 0.296).
The mortality is 0 % after trans duodenal sphincteroplasty and 6.5 % after choledochoduodenostomy.
In conclusion, trans duodenal sphincteroplasty is better than choledochoduodenostomy in the management of lower common bile duct stones, less postoperative cholangitis, pancreatitis, and lower mortality rate.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
al-Azzawi, Ali H.& al-Jawhar, Muhammad H.& al-Hilfi, Ali D.. 2012. Transduodenal sphincteroplasty versus choledochoduodenostomy in management of lower common bile duct stones. Basrah Journal of Surgery،Vol. 18, no. 1, pp.33-39.
https://search.emarefa.net/detail/BIM-306990
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
al-Azzawi, Ali H.…[et al.]. Transduodenal sphincteroplasty versus choledochoduodenostomy in management of lower common bile duct stones. Basrah Journal of Surgery Vol. 18, no. 1 (Mar. 2012), pp.33-39.
https://search.emarefa.net/detail/BIM-306990
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
al-Azzawi, Ali H.& al-Jawhar, Muhammad H.& al-Hilfi, Ali D.. Transduodenal sphincteroplasty versus choledochoduodenostomy in management of lower common bile duct stones. Basrah Journal of Surgery. 2012. Vol. 18, no. 1, pp.33-39.
https://search.emarefa.net/detail/BIM-306990
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 39
رقم السجل
BIM-306990
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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