[Hepatico-jejunostomy by the R. Smith-technique for the repair of central biliary ducts (author's transl)]

In order to repair a lesion of the proximal biliary duct, a wide anastomosis without tension and without reflux of intestinal content is required. If a biliary-intestinal anastomosis is technically not possible the R. Smith-procedure may be applied. For this purpose a segment of jejunum without serosal layer is pulled over a catheter into the biliary duct and the catheter fixed outside the abdomen. 11 good long-term results and 2 recurrences of stenoses could be observed by this method.