A side-to-end choledochoduodenostomy between the common bile duct and the stump of the transected duodenum.

A technique for treating patients with benign pyloric stenosis and associated choledocholithiasis upon a dilated common bile duct is described. The procedure consists in the performance of a Billroth II partial gastrectomy with the Hofmeinster-Finsterer modification and truncal vagotomy and a simultaneous side-to-end choledochoduodenostomy between the common bile duct and the duodenal stump. We have operated two cases in this way up to now without complications and with good postoperative results.