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6 The different biliary bypass surgical procedures have been advocated but bilio-enteric anastomosis in the form of Rouxen-Y Hepaticojejunostomy or choledochojejunostomy are considered as procedures of choice.
However, if the recipient common hepatic duct is diseased, too short, or otherwise inadequate for anastomosis, a choledochojejunostomy or hepaticojejunostomy with a Roux-en-Y limb is constructed.
Thorough wash given, primary closure of duodenum, Roux-en-y choledochojejunostomy with feeding jejunostomy done.
5) palliation done with cholecystectomy and Roux-en-Y hepatico or choledochojejunostomy and in one case (12.