Interposition of a defunctionalized limb of jejunum between the confluence of the hepatic ducts and the duodenum has some advantages. Biliary-jejunal anastomosis can be perfomed in a wider diameter, if necessary; duodenal function is kept almost normal, and the isolated segment of jejunum prevents the duodenojejunal reflex from getting to the biliary tract. The records of 19 patients upon whom hepatico-jejuno-duodenostomy was performed were reviewed. Patients (17) had iatrogenic lesions and benign strictures of the common bile duct. Two patients had malignant tumors of the common bile duct. The postoperative follow-up period ranged from 6 mo.-5 yr. The average postoperative time was 10 days. Two transient bile leaks were observed. Two patients had postoperative episodes of cholangitis. In both, the hepaticojejunostomy was narrow and stones were found in the intrahepatic position. A new and wider cholangiojejunostomy was perfomed. All of the patients were investigated roentgenographically after contrast material was given orally. Only 2 patients had an entericbiliary reflux which partially filled the intrahepatic biliary branches, but this was only observed at the time the abdomen was compressed.