June 1986

A New Method for Biliary Tract Reconstruction for Primary Bile Duct Stones

Author Affiliations

From the Department of Surgery, The First Affiliated Hospital of Nanjing (China) Medical College.

Arch Surg. 1986;121(6):720-722. doi:10.1001/archsurg.1986.01400060116017

• Twelve patients with repeated episodes of jaundice and infection due to primary biliary duct stones were treated by interposing a 50-cm segment of the jejunum between the proximal common duct below the liver and the first portion of the duodenum. The interposed jejunum was positioned in a retrogastric position. There were no postoperative deaths, and laboratory data indicate no alteration in gastric secretion, gastrin levels, or barium reflux into the liver. After a mean follow-up period of 11.67 months, there was no need for further operations in these patients, all of whom had had previous multiple episodes of cholangitis and biliary colic.

(Arch Surg 1986;121:720-722)