Sump syndrome following choledochoduodenostomy and its endoscopic treatment

Author:

Baker A R1,Neoptolemos J P1,Carr-Locke D L1,Fossard D P1

Affiliation:

1. Leicester Royal Infirmary, Leicester, UK

Abstract

Abstract The clinical features of eight patients with sump syndrome following side-to-side choledochoduodenostomy are reported. The syndrome is defined and its aetiology discussed with special reference to debris in the common bile duct, bacterial overgrowth and the clinical picture of acute cholangitis, which does not appear to be necessary for the diagnosis to be made. Five patients were successfully treated by endoscopic sphincterotomy and a sixth by endoscopic removal of food debris from the sump. The other two patients had further surgery.

Publisher

Oxford University Press (OUP)

Subject

Surgery

Reference22 articles.

1. Choledochoduodenostomy as an adjunct to choledocholithotomy;Schein;Surg Gynecol Obstet,1978

2. Late results of side to side choledochoduodenostomy and of transduodenal sphincterotomy for benign disorders;Stuart;Am J Surg,1972

3. Acute suppurative cholangitis: comparison of internal and external biliary drainage;Lygidakis;Am J Surg,1982

4. Protective choledochoduodenostomy in multiple common duct stones in the aged;Moesgaard;Surg Gynecol Obstet,1982

5. Endoscopic therapy of the sump syndrome;Barkin;Digest Dig Sci,1980

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