<p>Hepaticoduodenostomy (HD) is a common bilioenteric reconstructive procedure for choledochal cyst and hepatic stricture. With various studies reporting biliary gastritis, recurrent cholangitis and anastamotic stricture following HD we need longer follow up and non invasive investigations to see if these complications occur. In our pediatric surgical unit HD was the most common procedure for bilio-enteric reconstruction. Hence we did this study to see the short and long term outcome of HD and the role of HIDA (Hepatobiliary Iminodiacetic Scan) in long term follow up. Aim of our study was to review patients who underwent HD as a procedure for bilio-enteric reconstruction and identify the short and long-term complications and to evaluate the role of HIDA scan in long term follow up. Of the 40 patients who underwent HD, 7.5% had leak in immediate post op period. 5% had cholangitis and 2.5% had stricture in long term follow up. HIDA scan was done in 17 patients who had symptoms of epigastric pain or discomfort which showed bilio gastric reflux in 2 patients, stricture in 1 and duodeno portal reflux in 1patient. HD is a reliable biliary reconstructive procedure in children with minimal short- and long-term complication. There is a potential that some of the patients may develop bilio gastric reflux, duodeno portal reflux or early strictures. HIDA scan has a useful role in long term follow to identify those subset of patients who may develop these complications and helps in closer monitoring and early intervention when needed.</p>