Sump Syndrome: A Rare Long-Term Complication of Choledochoduodenostomy
Biliary sump syndrome is a rare condition. It is seen as a rare long-term complication in patients with a history of a side-to-side choledochoduodenostomy. In the era before endoscopic retrograde cholangiopancreatography, side-to-side choledochoduodenostomy was a common surgical procedure for the ma...
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| Format: | Article |
| Language: | English |
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Karger Publishers
2017-08-01
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| Series: | Case Reports in Gastroenterology |
| Subjects: | |
| Online Access: | http://www.karger.com/Article/FullText/477335 |
| _version_ | 1818162948222222336 |
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| author | Hrudya Abraham Sajan Thomas Amit Srivastava |
| author_facet | Hrudya Abraham Sajan Thomas Amit Srivastava |
| author_sort | Hrudya Abraham |
| collection | DOAJ |
| description | Biliary sump syndrome is a rare condition. It is seen as a rare long-term complication in patients with a history of a side-to-side choledochoduodenostomy. In the era before endoscopic retrograde cholangiopancreatography, side-to-side choledochoduodenostomy was a common surgical procedure for the management of biliary obstruction. In the setting of a side-to-side choledochoduodenostomy, the bile does not drain through the distal common bile duct anymore. Therefore, the part of the common bile duct distal from the choledochoduodenostomy anastomosis consequently transforms into a poorly drained reservoir, making this so-called “sump” prone to accumulation of debris. These patients are prone to cholangitis. We present a 64-year-old man with a history of side-to-side choledochoduodenostomy who presented with manifestations of cholangitis. An endoscopic retrograde cholangiopancreatography confirmed a diagnosis of sump syndrome. The etiology, clinical manifestations, and treatment of biliary sump syndrome are discussed in this article. |
| first_indexed | 2024-12-11T16:41:46Z |
| format | Article |
| id | doaj.art-de04013630ee41bcab64e2f6ccd8fa7f |
| institution | Directory Open Access Journal |
| issn | 1662-0631 |
| language | English |
| last_indexed | 2024-12-11T16:41:46Z |
| publishDate | 2017-08-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Gastroenterology |
| spelling | doaj.art-de04013630ee41bcab64e2f6ccd8fa7f2022-12-22T00:58:18ZengKarger PublishersCase Reports in Gastroenterology1662-06312017-08-0111242843310.1159/000477335477335Sump Syndrome: A Rare Long-Term Complication of CholedochoduodenostomyHrudya AbrahamSajan ThomasAmit SrivastavaBiliary sump syndrome is a rare condition. It is seen as a rare long-term complication in patients with a history of a side-to-side choledochoduodenostomy. In the era before endoscopic retrograde cholangiopancreatography, side-to-side choledochoduodenostomy was a common surgical procedure for the management of biliary obstruction. In the setting of a side-to-side choledochoduodenostomy, the bile does not drain through the distal common bile duct anymore. Therefore, the part of the common bile duct distal from the choledochoduodenostomy anastomosis consequently transforms into a poorly drained reservoir, making this so-called “sump” prone to accumulation of debris. These patients are prone to cholangitis. We present a 64-year-old man with a history of side-to-side choledochoduodenostomy who presented with manifestations of cholangitis. An endoscopic retrograde cholangiopancreatography confirmed a diagnosis of sump syndrome. The etiology, clinical manifestations, and treatment of biliary sump syndrome are discussed in this article.http://www.karger.com/Article/FullText/477335Sump syndromeCholedochoduodenostomyComplication |
| spellingShingle | Hrudya Abraham Sajan Thomas Amit Srivastava Sump Syndrome: A Rare Long-Term Complication of Choledochoduodenostomy Case Reports in Gastroenterology Sump syndrome Choledochoduodenostomy Complication |
| title | Sump Syndrome: A Rare Long-Term Complication of Choledochoduodenostomy |
| title_full | Sump Syndrome: A Rare Long-Term Complication of Choledochoduodenostomy |
| title_fullStr | Sump Syndrome: A Rare Long-Term Complication of Choledochoduodenostomy |
| title_full_unstemmed | Sump Syndrome: A Rare Long-Term Complication of Choledochoduodenostomy |
| title_short | Sump Syndrome: A Rare Long-Term Complication of Choledochoduodenostomy |
| title_sort | sump syndrome a rare long term complication of choledochoduodenostomy |
| topic | Sump syndrome Choledochoduodenostomy Complication |
| url | http://www.karger.com/Article/FullText/477335 |
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