[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address Please contact the publisher to request reinstatement.
Sign In
Individual Sign In
Create an Account
Institutional Sign In
OpenAthens Shibboleth
[Skip to Content Landing]
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)

Wang Chen-en:  Intrahepatic cholelithiasis . Chung Hua Wai Ko Tsa Chih 1983;21:332.
Wei Bei-you, Chen Qi-hen, Ye Shao-qiu:  Clinical analysis of 623 cases of intrahepatic bile duct stones . Chung Hua Wai Ko Tsa Chih 1983;21:355.
Wheeler EC, Longmire WP Jr:  Repair of benign stricture of the common bile duct by jejunal interposition choledochoduodenostomy . Surg Gynecol Obstet 1978;146:260.
Moreno-González E, Hebreno Sanmartin J, Moreno Azcoita M, et al:  Reconstruction of the biliary tract using biliary-duodenal interposition of a defunctionalized jejunal limb . Surg Gynecol Obstet 1980;150:678.
Castrini G, Pappalardo G:  Iatrogenic strictures of the bile ducts: Our experience with 66 cases . World J Surg 1981;5:753.Article
Zhen Wen-hua, Wang Chen-en, Wang Ji-fe:  Investigation on the etiology of postoperative reflux gastritis . Chung Hua Wai Ko Tsa Chih 1983;21:604.
Nielsen ML, Jensen SL, Malmstrom J, et al:  Gastrin and gastric acid secretion in hepaticojejunostomy Roux-en-Y . Surg Gynecol Obstet 1980;150: 61.