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October 2, 2025

Recurrent choledocholithiasis following multiple failed endoscopic retrograde cholangiopancreatographies: a case for laparoscopic choledochoduodenostomy.

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Authors

TTTiana TambyrajahJDJason DiabSKSailakshmi Krishnan

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Overview

Case report details successful laparoscopic choledochoduodenostomy for recurrent choledocholithiasis, indicating safer alternatives to ERCP in elderly patients.

Key Points

  • Laparoscopic choledochoduodenostomy effectively addresses recurrent choledocholithiasis when ERCP fails, offering a viable surgical option.
  • The patient experienced Escherichia coli bacteremia and managed small bowel obstruction post-surgery, underlining potential complications.
  • Endoscopic retrograde cholangiopancreatography was the initial approach, emphasizing its limitations in certain cases like gastric bypass.
  • A multidisciplinary management approach is crucial for older patients to ensure optimal outcomes in surgical interventions.

Cite This Study

Tambyrajah et al. (2025) studied this question.

synapsesocial.com/papers/68de5d9383cbc991d0a1ff94https://doi.org/10.1093/jscr/rjaf717
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Laparoscopic-Assisted Transgastric Endoscopic Retrograde Cholangiography (LTG-ERCP): An Option for Managing Choledocholithiasis in a Patient With Prior Bariatric Surgery at a Community Hospital2025
  2. 2Balancing Endoscopy and Surgery in Choledocholithiasis: A 12-Year Real-World Analysis From a Brazilian Tertiary University Hospital2025 · 1 citations
  3. 3Stepwise Strategies for Managing Common Bile Duct Stones in Patients Undergoing Cholecystectomy: A Comprehensive Review2025
  4. 4Open common bile duct exploration with primary closure treatment of complicated choledocholithiasis: a case report and literature review2025
  5. 5Recurrent Cholangitis From Common Bile Duct Stones After Cholecystectomy in A Patient With Duodenal Periampullary Diverticula2025