Biliary stricture as a complication of chronic relapsing pancreatitis.

To assess our results in the treatment of patients who present with obstructive jaundice due to distal common bile duct stricture after chronic relapsing pancreatitis, 25 patients were seen and operated on for this disease between 1974 and 1981. Our results have demonstrated that provided the diagnosis of the disease is accurate, the management for a large proportion of patients can be simple, safe, and effective. Indeed, choledochoduodenostomy, which has been carried out in combination with either gastrojejunostomy and vagotomy in the presence of duodenal obstruction or with pericystojejunostomy for the treatment of pancreatic pseudocyst, has been shown to be the treatment of choice.