There are many causes of bile-intestinal anastomotic stricture. In recent years, a few people have developed anastomotic stricture after bile duct jejunostomy with anastomosis r. Due to the thin bile ducts, postoperative tissue proliferation at the anastomotic margin forms fibrous tissue hyperplasia (granuloma) that completely obscures the anastomosis leading to anastomotic stenosis or even complete occlusion (see accompanying figure). Therefore, bile duct jejunostomy with an anastomosis is inappropriate. Anastomotic stenosis mostly occurs about six months after surgery. Its main clinical manifestations are recurrent intermittent fever and, in severe cases, jaundice. Most patients are treated with antimicrobial agents early to relieve the symptoms. However, long-term biliary obstruction combined with cholangitis can lead to cholestatic cirrhosis. The current clinical application of the anastomosis is a full-layer inversion stapling, not mucosa-to-mucosa anastomosis, does not meet the physiological requirements; for large-caliber gastrointestinal anastomosis can barely be applied, it is appropriate to choose a larger-caliber anastomosis in surgery; for smaller-caliber bile duct and jejunum anastomosis, the use of anastomosis is too inappropriate. It should be prohibited! There are various treatment methods for anastomotic stenosis. Interventional methods can be used to build in a support tube (or stent) for drainage purposes, or the original anastomotic scar can be surgically removed and anastomosed again. Anastomotic stents generally last only for 3 months, and any longer will result in clinical symptoms due to stent blockage, which is not a better option. Efficacy: The efficacy of reoperation to release the anastomotic stenosis to allow bile duct drainage should be very satisfactory. In my opinion: bile duct-jejunum anastomosis by anastomosis is contraindicated, and those who develop bile duct stricture after bile duct-jejunum anastomosis by anastomosis should be reoperated decisively and re-perform bile duct-jejunum anastomosis without scarring. The choice needs to be individualized by an experienced specialist or physician according to the patient’s specific condition. Fig. 6 months after bile duct-jejunum anastomosis with the anastomosis clutch, the anastomosis is atretic. This is a reoperation to sever the bile duct above the anastomosis to see the original anastomosis.