THE MAJORITY of strictures of the bile ducts are of traumatic origin, that is, injuries that occur during operation on the biliary tract. There are a number that occur as a result of inflammatory conditions, or they may be caused by the presence of a stone in the common duct. A benign or malignant tumor also may cause stricture or even complete obstruction. If the segment of the duct involved in a stricture or tumor is small, excision of the segment with end to end anastomosis will usually give good results.
When there is involvement of a fairly long segment of the duct, other operative measures must be used. I refer especially to cases in which the stricture extends upward, so that it involves a good deal of the common hepatic duct. In this type of case, anastomosis of the duct to the duodenum or jejunum has to be performed.
LAMSON OF. HEPATICODUODENOSTOMY FOR STRICTURE OF THE COMMON HEPATIC DUCT. Arch Surg. 1948;56(5):605–612. doi:https://doi.org/10.1001/archsurg.1948.01240010615006
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