This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: G.I.T, Subject name: Anatomy
What is the treatment of choice for recurrent CBD stones with multiple strictures in commonn bile duct 
Select and explain. 
A. Hepaticojejunostomy, B. Cutaneous hepaticojejunostomy, C. Cholecystectomy, D. ERCP and sphincterectomy
B: Cutaneous hepaticojejunostomy
Answer: B: Cutaneous hepaticojejunostomy 
Explanation: This is a case of recurrent pyogenic cholangitis. Cutaneous hepaticojejunostomy is preferred treatment modality Treatment of recurrent pyogenic cholangitis Treated with a multidisciplinary approach (endoscopy, interventional Radiology and surgery) The long term goal of therapy is to extract stones, remove debris, and relieve strictures Roux-en-Y hepaticojejunostomy with subcutaneous afferent limb(Hudson loop) is safe and effective way to provide access to the biliary tree for stone extraction Ref : Sabiston 20th edition Pgno :1507