Altaf Ahmed Talpur, Jan Muhammad Memon, Abdul Ghaffar Ansari, Pir Sahib Shah, Ali Akhbar Ghumro.
Common bile duct pathologies at Nawabshah.
Pak J Surg Jan ;23(2):88-91.

Objective: To determine the causes, presentation, management and outcome of Common Bile Duct (CBD) pathologies. Design & Duration: Descriptive analytical study from January 1995 to December 2006. Setting: Surgical Unit-I, Nawabshah Medical College & Hospital, Nawabshah. Patients: All patients who presented with CBD pathologies. Methodology: Data of all the patients with CBD pathologies was collected and entered on a proforma, including their complaints, positive examination findings, investigations, diagnosis, procedure performed and its outcome. Results: During the study period 45 patients presented with CBD pathology. Amongst them 14 were males and the rest females (31), with a mean age of 36.7 years. Around 67% patients had choledocholithiasis as the commonest cause. Exploration of the CBD with T-tube insertion was the commonest procedure, performed in 69% patients. About 4% patients had retained stones and 20% developed wound infection. Mean hospital stay was 13 days. Conclusions: Most common pathology involving the CBD was secondary stones; 95% patients had associated gall stones also.

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