Conversation: The conversation between human and AI assistant.
[|Human|] I need to have puestow procedure I have had stones that gety stuck in my bile duct. I have had 2 surgeries one was to bang it loode than suck up the stones @ seattle Wa.teaching hospital. He said he got them all & I will never have this problem again. Not! My bile duct now is 1/4 " swollen my liver is  going bad I have lost 8 dress sizes.They say that I have more stones than before. I live in Brookings Or 0000. Please help me find the right place and surgeon to go to.They are trying to get me into Eureaka Ca hospital. It does not have a good reputation.email    YYYY@YYYY
[|AI|]  Hi and welcome to Chat Doctor, thank you for your query. Puestow procedure is used to treat pancreatic diseases, not bile duct obstruction. You should do ERCP first to see can it be fixed without surgery. If not, then you need to do choledcohotomy and choledochojejunoanastomosis. Puerto is used for obstruction of pancreatic duct and in some cases of chronic pancreatitis. Wish you good health. Regards.