<prompt> Sump syndrome occurs most commonly after:-CholecystojejunostomyCholedochoduodenostomyMirizzis syndromeCholedochojejunostomy  <response>: Sump syndrome Sump syndrome: paiculate matter, stones, and food debris accumulate and stagnat in the distal, blind end of the common duct Sump syndrome occurs after choledochoduodenostomy Management Endoscopic management, consisting of sphincterotomy with or without balloon dilation of the anastomosis End-to-side hepaticojejunostomy, Roux-en-Y, to prevent persistent regurgitation of intestinal contents and to remove the sump permanently, is preferred surgical procedure. 