Our Surgical Experience in Choledoch Opening Anomalies


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Sarıtaş A. G. , Ülkü A. , Topal U., Dalcı K. , Yavuz B., Üsküdar O. , ...More

Medical Journal of Bakırkoy, vol.16, no.3, pp.240-247, 2020 (Refereed Journals of Other Institutions)

  • Publication Type: Article / Article
  • Volume: 16 Issue: 3
  • Publication Date: 2020
  • Title of Journal : Medical Journal of Bakırkoy
  • Page Numbers: pp.240-247

Abstract

Objective: The treatment of anomalous opening of the common bile duct opening is performed by endoscopic or surgical methods.

In addition to endoscopic procedures, indications of surgical treatment, surgical procedures and complications related to these

methods are aimed to be presented in the light of the literature.

Method: Patients who underwent surgical treatment for anomalous opening of the common bile duct between November 2014 and

August 2018 were analyzed retrospectively. Demographic characteristics, presenting symptoms, diagnostic methods, treatment

procedures, complications and postoperative follow-up information were analyzed.

Results: A total of 8 patients were included in the study. The mean age was 64.3 years. Male, and female patients constituted 75%

(n=6) and 25% (n=2) of the study population. The most common presenting symptoms were abdominal pain (50%) and biliary colic

(25%). Cholestatic enzymes were found to be high in 75% of the patients. Fifty-one patients had hyperbilirubinemia. Ectopic biliary

drainage was most commonly (75%) located at the bulbus and the second most common (25%) localization was the post-bulbar

region. The most common surgical procedure was hepaticojejunostomy (62.5%) and choledochoduodenostomy was performed in

25% of the cases.

Conclusion: Surgical treatment methods can be used in addition to endoscopic methods in the treatment of anomalous common bile

duct opening. Caution should be exercised in patients undergoing surgical treatment for anastomotic leakage, duodenal ulcer

bleeding and bleeding from the area of sphincterotomy.

Keywords: choledochus, ectopic opening, surgical treatmant