Long-term outcome of cholecystoenterostomy as a definitive biliary drainage procedure for benign disease

Andrew J. Oishi, Michael G. Sarr, David M. Nagorney, Michael D. Traynor, Peter Mucha

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Our aim was to examine the long-term success of cholecystoenterostomy performed for the relief of benign extrahepatic biliary obstruction. Concern about the ability of cholecystoenterostomy to provide reliable long-term biliary decompression has led many to abandon its use for benign biliary obstruction. Thirty-four patients who underwent cholecystoenterostomy for benign biliary obstruction over a 17-year period were reviewed. Patients were followed until cholecystoenterostomy failure, death, or to date. Failure was defined as recurrent biliary obstruction or cholangitis requiring therapeutic intervention. Mean follow-up was 8.0 years. Early postoperative morbidity occurred in 11 patients (32%), but only one early complication (cholangitis) was related directly to the cholecystoenteric anastomosis. Five patients (15%) experienced late biliary tract complications related directly to the cholecystoenterostomy including recurrent biliary stones with biliary obstruction in four and anastomotic stricture in one. All required reoperation and conversion to choledochoenterostomy at a mean of 112 months. Cholecystoenterostomy can provide reasonably effective long-term biliary decompression in selected patients with benign biliary obstruction.

Original languageEnglish (US)
Pages (from-to)616-619
Number of pages4
JournalWorld Journal of Surgery
Volume19
Issue number4
DOIs
StatePublished - Jul 1995

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Drainage
Cholangitis
Decompression
Biliary Tract
Reoperation
Pathologic Constriction
Morbidity
Therapeutics

ASJC Scopus subject areas

  • Surgery

Cite this

Long-term outcome of cholecystoenterostomy as a definitive biliary drainage procedure for benign disease. / Oishi, Andrew J.; Sarr, Michael G.; Nagorney, David M.; Traynor, Michael D.; Mucha, Peter.

In: World Journal of Surgery, Vol. 19, No. 4, 07.1995, p. 616-619.

Research output: Contribution to journalArticle

Oishi, Andrew J. ; Sarr, Michael G. ; Nagorney, David M. ; Traynor, Michael D. ; Mucha, Peter. / Long-term outcome of cholecystoenterostomy as a definitive biliary drainage procedure for benign disease. In: World Journal of Surgery. 1995 ; Vol. 19, No. 4. pp. 616-619.
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