[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.204.172.174. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Article
October 1952

EFFECT OF DIRECT ANASTOMOSIS OF COMMON BILE DUCT TO DUODENUMExperimental Study

Author Affiliations

DETROIT
From the Department of Surgery, Wayne University College of Medicine, and the Fifth Surgical Service, Grace Hospital.

AMA Arch Surg. 1952;65(4):522-531. doi:10.1001/archsurg.1952.01260020538004
Abstract

DIRECT choledochoduodenostomy is not infrequently performed in patients who require common duct reconstruction, especially in those instances when the distal end of the common duct cannot be found. Although some regurgitation of the duodenal content into the biliary system is bound to occur after such an operation, the effect of this reflux may or may not be important, depending upon the degree of ascending cholangitis that develops. The experiment to be reported in this paper was undertaken in an attempt to determine the incidence and severity of ascending infection following elimination of the sphincter of Oddi from the extrahepatic biliary system.

METHOD  Mongrel dogs were used as experimental animals. At a preliminary operation the common bile duct was doubly ligated and cut across close to the duodenum (Fig. 1). One to three weeks later the abdomen was again opened, and the greatly dilated common bile duct (often the diameter of

First Page Preview View Large
First page PDF preview
First page PDF preview
×