Surgical treatment of recurrent cholelithiasis caused by peripapillary duodenal diverticulum
10.3760/cma.j.issn.1007-8118.2016.01.009
- VernacularTitle:十二指肠乳头旁憩室致复发性胆管结石40例疗效
- Author:
Hongxian YAN
;
Jianguo TIAN
- Publication Type:Journal Article
- Keywords:
Peripapillary duodenal diverticulum;
Recurrent cholelithiasis;
Surgical treatment
- From:
Chinese Journal of Hepatobiliary Surgery
2016;22(1):30-32
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the diagnosis and therapy of recurrent cholelithiasis caused by peripapillary duodenal diverticulum.Methods The clinical data of 40 patients with repeated formation of bile duct stones caused by peripapillary duodenal diverticulum were retrospectively reviewed,and the data on surgical treatment were analyzed.Results All the patients underwent duodenal diverticulum operation and subtotal gastrectomy (Billroth Ⅱ).Twenty-one patients in addition underwent R-Y cholangiojejunostomy,14 patients and 5 patients underwent choledochotomy with T-tube drainage and duodenotomy with Oddi sphincterotomy,respectively.In forty patients,three patients presented temporarily biliary fistula,two patients lost touch,three-eighty fully recover from an illness in three years.Conclusion Recurrence of bile duct stones caused by peripapillary diverticulum may be cured by duodenal diverticulum operation combined with bile duct surgery,which is a feasible and efficacious treatment.
