This preliminary report details the radiologists' contribution to the combined surgical—radiologic approach to maintaining patency of the biliary tree that may benefit certain categories of patients with biliary strictures. We have accessed the biliary tree through the stomatized afferent limb of a side to side biliary jejunal anastomosis in 18 patients. Our early experience with this technique suggests that we may be able to maintain patency of biliary strictures without the need for permanent indwelling catheters or stents.
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