علاج رتوج الاثني عشر العرضية المصاحبة لحصوات القناة الصفراوية أو التهاب الأقنية الصفراوية

References

DOI: 10.3389/fsurg.2023.1267436

Further, we performed a multivariate Logistics regression analysis and the results showed that patients with combined smaller-sized DD may prefer conservative treatment, while patients with combined biliary system stones and cholangitis without bile duct stones may prefer surgical treatment (direct or indirect).

The results suggest that the combination of bile duct stones and gallstones, primary bile duct stones, and cholangitis without bile duct stones may be the reason for preferring surgical treatment as well as endoscopic treatment compared to conservative treatment, while DD sizes <1 cm or 1–3 cm are the possible reason for preferring conservative treatment.

The main surgical treatment modalities for patients with DD in previous studies include diverticulectomy, duodenal resection, and diverticular inversion, and surgical treatment for DD is considered safe.

In our study, DD patients were operated on more frequently with choledochojejunostomy (43.8%) and gastrojejunostomy (20.3%), next by diverticulectomy (14.1%).

Depending on the type and severity of the complications, endoscopic treatment and cholecystectomy may be options for complications only, in addition to surgical treatments that directly target DD.