Hepaticojejunoanastomosis is a surgical replacement of the biliary tract. The most frequent indications for this procedure are biliary duct injuries, other benign biliary tract stenoses, biliary tumours, choledochal cysts, and biliary atresia in children. The main complication of this method is stenosis of the anastomosis. We retrospectively reviewed the cases of eight patients with a history of hepaticojejunoanastomosis for benign disorder with a view to the role of ultrasound examination in their follow-up. All eight patients had hepaticojejunoanastomosisrelated complications during the follow-up. Abdominal ultrasound was used as a primary diagnostic modality in the follow-up of all patients. When a complication was suspected, it was followed directly by an invasive therapeutic method (PTD, ERC, drainage); in four patients there were further noninvasive diagnostic tests indicated. Further non-invasive tests did not provide any new information, they only confirmed the ultrasound findings. If the clinical picture, laboratory tests, and ultrasound examination were taken together, we were able to accurately detect complications in all patients. According to our results we can conclude that abdominal ultrasound is an accurate method for the detection of hepaticojejunoanastomosis- related complications and should be preferred in the surveillance of these patients.

Beskydy Gastrocentre Department of Internal Medicine Frýdek Místek Hospital Frýdek Místek

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