Treatment of patients with choledocholithiasis

Jorge Lucena Olavarrieta

2005, Number 1

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Rev Mex Cir Endoscop 2005; 6 (1)

Treatment of patients with choledocholithiasis

Lucena OJ

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Language: Spanish
References: 27
Page: 33-38
PDF size: 57.94 Kb.

ABSTRACT

Background: Choledocholithiasis can be caused by either primary bile duct stones or by secondary and the recurrences rates vary.
Patients-methods: 280 outpatients were treated for choledocholithiasis from October 1984 to December 2004, and divided into 3 groups: “A” 127 patients who had undergone choledocholithotomy and T-tube “B” 98 who had undergone choledochoduodenostomy, and “C” 55 whose stones were removed by endoscopy. Choledochoduodenostomy was performed in 98. Choledocholithiasis recurred in 14 of 280 the remaining 266 patients that showed no recurrence were compared. All data are expressed as mean ± standard deviation. Analysis was performed with the χ² test and Student ‘ s. Value P = 0.05.
Results: The diameter of the common bile duct was more dilated in patients with recurrent lithiasis than in patients without any recurrence P ‹ 0.05. Furthermore, while primary bile duct stones were found in 9 of the 14 cases with recurrent, primary stones were found in only 32 of the 165 nonrecurrent patients, showing primary bile duct stones were also more common in recurrent patients (P ‹ 0.05).
Conclusion: Choledocholithotomy and T-tube drainage, is presently a common procedure for choledocholithiasis, this procedure will not necessarily prevent a recurrence.

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