INSTRUMENTAL TREATMENT OF RECURRENT LITHIASIS OF BILIARY-TRACT WITH STENOSIS OF HEPATICOJEJUNAL ANASTOMOSIS

The optimal treatment for recurrent stones of the biliary tract in pat ients previously treated by hepatic-jejunal anastomosis with Roux en Y loop is debated and the criteria are not fully defined. Age, cardiopu lmonary diseases, diabetes, multiple previous surgery of the biliary t ract, size, number, and type of stones are some of the factors to eval uate before choosing the most convenient approach. We present two high surgical risk patients with recurrent biliary tract stones previously treated with hepatic-jejunal anastomosis and Roux en Y loop, and trea ted successfully. Percutaneous lithotripsy wets used and in one extrac orporeal lithotripsy was associated. These techniques offered a good t reatment for these patients, but toe must consider the high cost of th ese procedures. The criteria to choose the best option should consider the risk factors and the cost effectiveness of the various possibilit ies.