What is a cholecystoduodenostomy / enterostomy?

This is a procedure where the gall bladder or bile duct is connected to the duodenum (part of the stomach) or small bowel, to allow bile to drain.

Anaesthetic

This procedure will require an anaesthetic.

What are the risks of this specific procedure?

There are risks and complications with this procedure.
They include but are not limited to the following:

General risks:

  • Infection can occur, requiring antibiotics and further treatment.
  • Bleeding could occur and may require a return to the operating room. Bleeding is more common if you have been taking blood thinning drugs such as Warfarin, Asprin, Clopidogrel (Plavix or Iscover) or Dipyridamole(Persantin or Asasantin).
  • Small areas of the lung can collapse, increasing the risk of chest infection. This may need antibiotics and physiotherapy.
  • Increased risk in obese people of wound infection, chest infection, heart and lung complications, and thrombosis.
  • Heart attack or stroke could occur due to the strain on the heart.
  • Blood clot in the leg (DVT) causing pain and swelling. In rare cases, part of the clot may break off and go to the lungs.
  • Death as a result of this procedure is possible.

Specific risks:

  • Deep bleeding in the abdominal cavity could occur and this may need fluid replacement or further surgery.
  • Damage may occur to the bile ducts near the liver and gall bladder with long term problems with blockage.
  • Difficulty passing urine after the operation and may need a catheter passed into the bladder, until the bladder can empty normally.
  • The join between the ducts/gall bladder and bowel may not heal properly and cause leakage of bowel fluid. This may need further surgery.
  • The bowel movement may be paralyzed or blocked after surgery and this may cause building up of fluid in the bowel with bloating of the abdomen and vomiting. Further treatment may be necessary.
  • Infections such as pus collections can occur in the abdominal cavity. This may need surgical drainage.
  • The jaundice for which this operation is done may not clear up.
  • In some people, healing of the wound may be abnormal and the wound can be thickened and turn red and the scar may be painful.