REPEATED RECONSTRUCTION FOR RECURRENT BENIGN BILE-DUCT STRICTURE

Since 1965, 101 operations for benign bile duct stricture have been pe rformed, including 51 Roux-en-Y end-to-side hepaticojejunostomies. Com plete follow-up to a mean of 12.5 years has been achieved. Nine patien ts required reoperation for stricture; the total cumulative late paten cy rate was 90 per cent, including successful repair. Seven of the nin e patients who underwent a second operation had a favourable outcome. Early hepaticojejunostomy is a satisfactory treatment for recurrent bi liary stricture.