Back to Search
Start Over
Is Endoscopic Sphincterotomy Sufficient in the Treatment of Sump Syndrome? A 25-Year Experience.
- Source :
-
Journal of laparoendoscopic & advanced surgical techniques. Part A [J Laparoendosc Adv Surg Tech A] 2024 May; Vol. 34 (5), pp. 430-433. Date of Electronic Publication: 2024 Mar 19. - Publication Year :
- 2024
-
Abstract
- Background: Sump syndrome is one of the rare long-term complications of side-to-side choledochoduodenostomy (CD) leading to attacks of cholangitis due to accumulation of food and debris in the common bile duct distal to the anastomosis is one of the rare long-term complications after CD. Methods: Fifteen patients treated with the Sump syndrome in our institution between 1996 and 2023 were retrospectively evaluated for long-term outcome. Results: Endoscopic retrograde cholangiopancreatography (ERCP) with sphincterotomy and bile duct clearance was done in 11 patients, while four were subjected to revisional surgery in the form of a Roux-en-Y hepaticojejunostomy. No complications were recorded. There were 5 (38%) recurrences in a median follow-up period of 8 years (10 months-23 years). Of those, 3 patients were treated surgically and two with repeat ERCP. None of the patients developed any cholangiocarcinoma during follow-up. Conclusion: We conclude that although a high recurrence rate was observed, endoscopic treatment may be a valid approach in the treatment of Sump syndrome, with revisional surgery in the form of a Roux-en-Y hepaticojejunostomy as salvage therapy in recurrences.
- Subjects :
- Humans
Female
Male
Retrospective Studies
Middle Aged
Adult
Aged
Reoperation statistics & numerical data
Treatment Outcome
Recurrence
Postoperative Complications epidemiology
Postoperative Complications etiology
Sphincterotomy, Endoscopic methods
Cholangiopancreatography, Endoscopic Retrograde methods
Choledochostomy methods
Subjects
Details
- Language :
- English
- ISSN :
- 1557-9034
- Volume :
- 34
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Journal of laparoendoscopic & advanced surgical techniques. Part A
- Publication Type :
- Academic Journal
- Accession number :
- 38502847
- Full Text :
- https://doi.org/10.1089/lap.2023.0519