Moesgaard F, Nielsen M L, Pedersen T, Hansen J B
Surg Gynecol Obstet. 1982 Feb;154(2):232-4.
Forty-nine patients more than 70 years of age had a follow-up examination two to eight years after choledochoduodenostomy for common duct stones or for common duct strictures following a previous biliary tract operation. Death followed operation in two patients and was not related to the choledochoduodenostomy itself. Results of the follow-up examination revealed that none of the patients had had signs or symptoms of cholangitis, jaundice or episodes of fever. One patient only had recurrent, but mild, biliary colic. Choledochoduodenostomy is well tolerated in old age and justified in elderly patients with multiple stones in dilated common ducts as a precaution against retained or recurrent common duct stones.
49名70岁以上的患者在因胆总管结石或既往胆道手术后胆总管狭窄行胆总管十二指肠吻合术后两至八年接受了随访检查。两名患者术后死亡，与胆总管十二指肠吻合术本身无关。随访检查结果显示，所有患者均无胆管炎、黄疸或发热症状。仅有一名患者出现复发性但轻微的胆绞痛。胆总管十二指肠吻合术在老年患者中耐受性良好，对于扩张胆总管内有多个结石的老年患者，作为预防胆总管结石残留或复发的措施是合理的。
