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      Impacted Common Bile Duct Stone Managed by Hepaticoduodenostomy

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          Abstract

          A bypass procedure such as a hepaticoduodenostomy may be an alternative to the traditional choledochoduodenostomy in the management of the retained, impacted distal common bile duct (CBD) stone, especially in the presence of sepsis. We present herein a hepaticoduodenotomy performed for a retained, impacted distal CBD stone in a low-resource setting with a good outcome. This impacted stone had complicated an open cholecystectomy for acute cholecystitis by causing the dehiscence of the cystic duct stump as a result of distal biliary obstruction.

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          Most cited references15

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          Hepaticoduodenostomy versus hepaticojejunostomy after resection of choledochal cyst: a systematic review and meta-analysis.

          Excision has been established as a standard management practice for choledochal cysts in the last few decades. The two most commonly performed methods of reconstruction after excision are hepaticoduodenostomy (HD) and Roux-en-Y hepaticojejunostomy (HJ), of which the HJ is favored by most surgeons. Evidence concerning the optimal method of reconstruction is, however, sparse.
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            Various Techniques for the Surgical Treatment of Common Bile Duct Stones: A Meta Review

            Common bile duct stones (CBDSs) may occur in up to 3%–14.7% of all patients for whom cholecystectomy is preformed. Patients presenting with CBDS have symptoms including: biliary colic, jaundice, cholangitis, pancreatitis or may be asymptomatic. It is important to distinguish between primary and secondary stones, because the treatment approach varies. Stones found before, during, and after cholecystectomy had also differing treatments. Different methods have been used for the treatment of CBDS but the suitable therapy depends on conditions such as patient' satisfaction, number and size of stones, and the surgeons experience in laparoscopy. Endoscopic retrograde cholangiopancreatography with or without endoscopic biliary sphincterotomy, laparoscopic CBD exploration (transcystic or transcholedochal), or laparotomy with CBD exploration (by T-tube, C-tube insertion, or primary closure) are the most commonly used methods managing CBDS. We will review the pathophysiology of CBDS, diagnosis, and different techniques of treatment with especial focus on the various surgical modalities.
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              To drain or not to drain? The role of drainage in the contaminated and infected abdomen: an international and personal perspective.

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                Author and article information

                Journal
                Case Rep Gastroenterol
                Case Rep Gastroenterol
                CRG
                Case Reports in Gastroenterology
                S. Karger AG (Allschwilerstrasse 10, P.O. Box · Postfach · Case postale, CH–4009, Basel, Switzerland · Schweiz · Suisse, Phone: +41 61 306 11 11, Fax: +41 61 306 12 34, karger@karger.com )
                1662-0631
                Sep-Dec 2022
                21 December 2022
                21 December 2022
                : 16
                : 3
                : 675-679
                Affiliations
                [1] aDepartment of Surgery, Faculty of Health Sciences, University of Buea, Buea, Cameroon
                [2] bRegional Hospital Limbe, S.W. Region, Limbe, Cameroon
                [3] cDepartment of Internal Medicine & Paediatrics, Faculty of Health Sciences, University of Buea, Buea, Cameroon
                Author notes
                *Elroy Patrick Weledji, elroypat@ 123456yahoo.co.uk
                Article
                crg-0016-0675
                10.1159/000518928
                9841786
                36654917
                f4910779-3ef0-46b8-a902-c8d91d66c40c
                Copyright © 2022 by The Author(s). Published by S. Karger AG, Basel

                This article is licensed under the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC). Usage and distribution for commercial purposes requires written permission.

                History
                : 26 June 2021
                : 30 July 2021
                : 2022
                Page count
                Figures: 1, References: 15, Pages: 5
                Funding
                This manuscript did not receive any funding.
                Categories
                Case and Review

                Gastroenterology & Hepatology
                gallstones,common bile duct,hepaticoduodenostomy
                Gastroenterology & Hepatology
                gallstones, common bile duct, hepaticoduodenostomy

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