RESULTS AFTER CORRECTION OF BENIGN PASSAG E-DISORDERS IN THE BILIARY-TRACT BY A BILIO-JEJUNAL ANASTOMOSIS

Summ.: In 27 patients with disorders of the bile ducts we performed a bilio;jejunal anastomosis to eliminate the stenosis. The letality rate was 3.7 %, the rate of complications following operation was 30 %. Af ter a period of 3 to 15 years 15 patients agreed to an inpatient follo w-up examination. 80 % of them regarded the postoperative results as s ubjectively good or very good. 60 % were again completely able to work . Biochemical examinations, ultrasonography and sequencescintigraphy o f the liver showed a higher rate of irregular findings despite missing symptoms. These findings were due to icteric or cholangitic predamage s before surgical treatment. The determination of Gamma-Glutamyl-Trans ferase and alcaline Phosphatase as well as ultrasonography and sequenc escintigraphy of the liver proved to be the most sensitive methods for evaluation of the late results.