Fistulae of bileduct

A series of 18 cases of extra hepatic bile duct injuries resulting in stenosis and external biliary fistulae is presented with two deaths and no recurrence of symptoms suggestive of narrowing of hepatico-jejunostomy anastomosis. Contrary to the routine we have not used stents and indwelling tubes and have faced no problem. The series is too small to prove that prolonged intubations with extra hepatic tubes is probably not required