Ravindra, K VKapoor, RSikora, S SSaxena, RKapoor, V KKaushik, S P1996-01-012009-05-291996-01-012009-05-291996-01-01Ravindra KV, Kapoor R, Sikora SS, Saxena R, Kapoor VK, Kaushik SP. Choledochoduodenostomy: influence of risk factors in post-operative morbidity. Indian Journal of Gastroenterology. 1996 Jan; 15(1): 4-6http://imsear.searo.who.int/handle/123456789/65246BACKGROUND: Choledochoduodenostomy is performed for a variety of lower common bile duct lesions. AIMS: To analyse the influence of risk factors on the post-operative morbidity following choledochoduodenostomy. METHODS: Relation of risk factors including age more than 60 years, medical Illness, hemoglobin less than 10 g/dL, albumin less than 3 g/dL, bilirubin more than 10m/dL, presence of cholangitis at admission (treated pre-operatively), use of pre-operative endoscopic sphincterotomy and common bile duct diameter at surgery were related to the occurrence of post-operative morbidity was studied using univariate analysis. RESULTS: Fifty patients underwent choledochoduodenostomy. One patient (2%) died; major post-operative morbidity occurred in 12 patients (24%). Presence of cholangitis at admission was the only factor related (p = 0.00012) to the occurrence of post-operative morbidity. No long-term complications were encountered in 35 patients (70%) mean with followup period of 28 (range 8-60) months. CONCLUSIONS: Choledochoduodenostomy is a safe permanent drainage procedure for benign lower biliary obstruction.engAge FactorsCholangitis --epidemiologyCholedochostomyCommon Bile Duct Diseases --surgeryFemaleFollow-Up StudiesHumansMaleMiddle AgedMorbidityPostoperative Complications --epidemiologyRisk FactorsTime FactorsJournal Article