[Anastomosis of ducts and intestines in non-neoplastic bile duct stricture]

Recurrence of hepaticojejunal anastomotic stricture should be regarded as an operative risk, particularly in the case of patients with type III and IV stricture according to Bismuth classification. This complication should be taken into account, especially in the first five postoperative years. Since in some cases, biliary stricture has an insidious course with nebulous clinical symptoms. It becomes evident at the stage of advanced degenerative lesions in the liver. Success of the next surgical intervention is dependent to a great extent on whether reoperation is performed on patients with existing fibrotic and cirrhotic lesions in the liver. Considering the time of postoperative follow-up, patients with benign biliary stricture constitute a ++non-uniform group. Under such circumstances, the results can be standardised with the statistically approved Cutler-Ederer method. Prospective observations and rapid determination of indications for the next surgical intervention led to a permanent recovery rate of 92%, although single surgery brought permanent improvement in only 72-75% of the operated patients.