Figure 4.35. Choledo-choduodenostomy. (A)

Right anterior oblique view from an upper GI series demonstrates contrast medium entering the biliary tree via a choledochoduo-denostomy. There is preferential filling of the proximal biliary system. (B) Film from an upper GI series in another patient reveals filling of the biliary tree via the choledochoduodenos-tomy. Stricture in that region prevents opacification of the distal CBD.

Figure 4.36. Choledo-choduodenostomy with poor emptying of the biliary tree. Film taken 4 hours after completion of an upper GI series demonstrates a large amount of barium in a dilated biliary tree. The biliary tree failed to empty normally.

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