BACKGROUND: Side-to-side choledochoduodenostomy is a frequently performed operation. @entity86 " is infrequent, a complication for which endoscopic sphincterotomy is regarded as the treatment of choice. METHODS: We retrospectively analyzed 30 cases of @entity9834 and describe the symptoms, the delay before the appearance of symptoms, @entity854 , the nature of the @entity253 , and the outcome of endoscopic sphincterotomy including its efficiency and complications. RESULTS: The median clinical latency was 5 years (range 1 month to 28 years), the median delay between surgery and diagnosis was 6 years (range 1 month to 28 years). Fourteen @entity1 had @entity490 with @entity221 , 5 had isolated @entity490 , 4 had post-prandial @entity158 , 4 had hepatic abscesses, and 3 had acute @entity788 . Liver function tests were abnormal in 79%. During endoscopic retrograde cholangiopancreatography, @entity6766 was identified in 18 @entity1 in the biliary sump, @entity5990 in 10 @entity1 , and a mixture of food and calculi in 2 @entity1 . All @entity1 underwent endoscopic sphincterotomy without complication. Recurrence during a median follow-up of 36 months (range 3 months to 11 years) was not observed. CONCLUSIONS: Sump syndrome most often becomes symptomatic only after a long delay. @entity490 with @entity221 was the most frequent symptom. Liver function tests were abnormal in the majority of @entity1 . Food debris was the most frequent cause. Endoscopic sphincterotomy appeared to be a safe, reliable treatment.

Endoscopic management of XXXX after choledochoduodenostomy: retrospective analysis of 30 cases.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity9834 :: ('MESH:D017562', 'Disease') :: ['sump syndrome'] @entity788 :: ('MESH:D010190', 'Disease') :: ['pancreatitis'] @entity6766 :: ('MESH:D005517', 'Disease') :: ['food debris'] @entity5990 :: ('MESH:D042882', 'Disease') :: ['biliary calculi'] @entity854 :: ('MESH:D018376', 'Disease') :: ['laboratory abnormalities'] @entity86 :: ('MESH:D019106', 'Disease') :: ['Postoperative biliary "sump syndrome'] @entity490 :: ('MESH:D015746', 'Disease') :: ['abdominal pain', 'Abdominal pain'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity253 :: ('MESH:D001660', 'Disease') :: ['biliary obstruction'] @entity221 :: ('MESH:D005334', 'Disease') :: ['fever']
@entity9834 :: (MESH:D017562,Disease) :: ['sump syndrome']
