Bile sump syndrome

Changed by Rohit Sharma, 3 Apr 2019

Updates to Article Attributes

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The bileBile sump syndrome refers to a complication following a side-to-side choledochoduodenostomy, a procedure where communication is formed between the mid common bile duct and duodenum to prevent recurrent choledocholithiasis or biliary obstruction.  The syndrome occurs when there is malfunction of the sphincter of Oddi and the distal common bile duct acts as a 'sump' or stagnant reservoir for stones and other debris

Epidemiology

 ThisThis complication occurs in ~1% of patients following a side-to-side choledochoduodenostomy. 

Clinical presentation

Recurrent abdominal pain, cholangitispancreatitis, or biliary obstruction. 1.

Pathology

A side-to-side choledochoduodenostomy is a procedure where a communication is formed between the mid-common bile duct and duodenum to prevent recurrent choledocholithiasis or biliary obstruction. Bile sump syndrome occurs when there is malfunction of the sphincter of Oddi and the distal common bile duct acts as a 'sump' or stagnant reservoir for stones and other debris.

  • -<p>The <strong>bile sump syndrome</strong> refers to a complication following a side-to-side choledochoduodenostomy, a procedure where communication is formed between the mid common bile duct and duodenum to prevent recurrent <a href="/articles/choledocholithiasis">choledocholithiasis</a> or biliary obstruction.  The syndrome occurs when there is malfunction of the sphincter of Oddi and the distal common bile duct acts as a 'sump' or stagnant reservoir for stones and other debris. </p><h4>Epidemiology</h4><p> This complication occurs in ~1% of patients following a side-to-side choledochoduodenostomy. </p><h4>Clinical presentation</h4><p>Recurrent abdominal pain, <a href="/articles/cholangitis">cholangitis</a>, <a href="/articles/acute-pancreatitis">pancreatitis</a>, or <a href="/articles/portal-biliopathy">biliary obstruction</a>. <sup>1</sup> </p>
  • +<p><strong>Bile sump syndrome</strong> refers to a complication following a side-to-side choledochoduodenostomy. </p><h4>Epidemiology</h4><p>This complication occurs in ~1% of patients following a side-to-side choledochoduodenostomy. </p><h4>Clinical presentation</h4><p>Recurrent abdominal pain, <a href="/articles/cholangitis">cholangitis</a>, <a href="/articles/acute-pancreatitis">pancreatitis</a>, or <a href="/articles/portal-biliopathy">biliary obstruction</a> <sup>1</sup>.</p><h4>Pathology</h4><p>A side-to-side choledochoduodenostomy is a procedure where a communication is formed between the mid-common bile duct and duodenum to prevent recurrent <a href="/articles/choledocholithiasis">choledocholithiasis</a> or biliary obstruction. Bile sump syndrome occurs when there is malfunction of the <a title="Sphincter of Oddi" href="/articles/sphincter-of-oddi">sphincter of Oddi</a> and the distal common bile duct acts as a 'sump' or stagnant reservoir for stones and other debris.</p>

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