Single-stage definitive surgical treatment for portal biliopathy

作者: Marc M Bernon , Mark W Sonderup , G E Chinnery , Philippus C Bornman , Jake E J Krige

DOI: 10.7196/SAJS.2062

关键词:

摘要: The term portal biliopathy (PB) is used to describe the biliary abnormalities associated with hypertension. Between 5% and 30% of patients PB develop obstruction. We report on a patient extrahepatic obstruction caused by that was successfully managed an intrahepatic segment 3 bypass. traditional surgical approach for would be portosystemic shunt followed hepaticojejenostomy if jaundice persited. An bypass provides definitive treatment ensuring decompression stone removal in single procedure appropriately selected patients.

参考文章(17)
Chaudhary, Dhar, Sarin, Sachdev, Agarwal, Vij, Broor, Bile duct obstruction due to portal biliopathy in extrahepatic portal hypertension: surgical management British Journal of Surgery. ,vol. 85, pp. 326- 329 ,(2003) , 10.1046/J.1365-2168.1998.00591.X
Vibhor Borkar, Ujjal Poddar, Management of extra hepatic portal venous obstruction (EHPVO): current strategies. Tropical gastroenterology : official journal of the Digestive Diseases Foundation. ,vol. 32, pp. 94- 102 ,(2011)
Radha K. Dhiman, Pankaj Puri, Yogesh Chawla, Mukut Minz, Jayapalli R. Bapuraj, Sanjay Gupta, Birendra Nagi, Sudha Suri, Biliary changes in extrahepatic portal venous obstruction: Compression by collaterals or ischemic? Gastrointestinal Endoscopy. ,vol. 50, pp. 646- 652 ,(1999) , 10.1016/S0016-5107(99)80013-3
Geeta H. Malkan, Shobna J. Bhatia, Khalid Bashir, Raju Khemani, Philip Abraham, Malan S. Gandhi, Ravikumar Radhakrishnan, Cholangiopathy associated with portal hypertension: diagnostic evaluation and clinical implications. Gastrointestinal Endoscopy. ,vol. 49, pp. 344- 348 ,(1999) , 10.1016/S0016-5107(99)70011-8
M. Mutignani, S.K. Shah, A. Bruni, V. Perri, G. Costamagna, Endoscopic treatment of extrahepatic bile duct strictures in patients with portal biliopathy carries a high risk of haemobilia: report of 3 cases. Digestive and Liver Disease. ,vol. 34, pp. 587- 591 ,(2002) , 10.1016/S1590-8658(02)80093-7
M. Rangari, R. Gupta, M. Jain, V. Malhotra, S.K. Sarin, Hepatic dysfunction in patients with extrahepatic portal venous obstruction. Liver International. ,vol. 23, pp. 434- 439 ,(2003) , 10.1111/J.1478-3231.2003.00879.X
Anil Kumar Agarwal, Dharamanjai Sharma, Shivendra Singh, Shaleen Agarwal, S.P. Girish, Portal biliopathy: a study of 39 surgically treated patients Hpb. ,vol. 13, pp. 33- 39 ,(2011) , 10.1111/J.1477-2574.2010.00232.X
Mae Tighe, Ira Jacobson, Bleeding from bile duct varices: an unexpected hazard during therapeutic ERCP Gastrointestinal Endoscopy. ,vol. 43, pp. 250- 252 ,(1996) , 10.1016/S0016-5107(96)70327-9
Somnath Chattopadhyay, Mahendran Govindasamy, Punit Singla, Vibha Varma, Naimish Mehta, Vinay Kumaran, Samiran Nundy, Portal biliopathy in patients with non-cirrhotic portal hypertension: does the type of surgery affect outcome? HPB. ,vol. 14, pp. 441- 447 ,(2012) , 10.1111/J.1477-2574.2012.00473.X
Ye Htun Oo, Simon Olliff, Geoffrey Haydon, Douglas Thorburn, Symptomatic portal biliopathy: a single centre experience from the UK. European Journal of Gastroenterology & Hepatology. ,vol. 21, pp. 206- 213 ,(2009) , 10.1097/MEG.0B013E3283060EE8