Biliary reconstruction with biliary-enteric anastomosis is frequently required in patients with benign and malignant illness of the hepatobiliary pancreatic area. One of the biliary-enteric anastomosis's long-term consequences, cholangiosis can necessitate numerous hospital stays and surgical procedures. Hepaticojejunostomy stricture is a serious complication of biliary surgery, if untreated, can lead to repeated cholangitis, biliary cirrhosis, hepatic failure and eventually death.Operations requiring biliary-enteric anastomosis are uncommon, and the true incidence of postoperative stricture is unknown. Factors that predict anastomotic stricture include proximal biliary stricture, multiple prior attempts at repair, intra-abdominal abscess or bile collection, external or internal biliary fistula, and anastomosis in an undilated duct. Some benign biliary strictures are idiopathic. Revision hepaticojejunostomy being a complex procedure will be difficult by the sequelae of long-standing unrelieved biliary obstruction like portal hypertension due to secondary biliary cirrhosis, atrophy of liver lobes and presence of cholangiolytic liver abscess with the success rate of surgical repair decreases with each successive surgical intervention. In addition, there is a need for additional reliable data to analyse and comprehend the impact of a cholangitis on patients' quality and length of life given the dearth of reports on post-hepaticojejunostomy cholangitis. Therefore, this study aimed to review the different modalities in the management of post hepaticojejunostomy biliary stricture.

Hepaticojejunostomy stricture; Modalities; Biliary Surgery