On the question of choosing a method of surgery for chronic calculous cholecystitis

In patients who have undergone surgery for chronic calculous cholecystitis and its complications, an increase in duodenal pressure and tone occurs secondarily, in response to biliary and pancreatic hypertension caused by choledocholithiasis, papillary stenosis, and other complications of the disease. Operations that remove mechanical obstacles to the outflow of bile and pancreatic juice help to reduce duodenal hypertension or normalize pressure in the duodenum. In functional duodenal hypertension, papillosphincterotomy and choledochoduodenostomy are not contraindicated.