Portal hypertensive biliopathy: A single center experience and literature review

作者: Vanessa Suárez , Andrés Puerta , Luisa Fernanda Santos , Juan Manuel Pérez , Adriana Varón

DOI: 10.4254/WJH.V5.I3.137

关键词:

摘要: Portal hypertensive biliopathy (PHB) is characterized by anatomical and functional abnormalities of the intrahepatic, extrahepatic pancreatic ducts, in patients with portal hypertension associated to vein obstruction less frequently cirrhosis. These morphological changes, consisting dilatation stenosis biliary tree, are due extensive venous collaterals occurring an attempt decompress blockage. It usually asymptomatic until it progresses more advanced stages cholestasis, jaundice, sludge, gallstones, cholangitis finally Imaging modalities tree such as Doppler ultrasound, computed tomography, magnetic resonance cholangiopancreatography endoscopic retrograde essential establish diagnosis need therapeutical interventions. Once established, treatment ursodesoxycholic acid seems be beneficial. Decompression dilate, remove stones or implant prosthesis surgical procedures (hepato-yeyunostomy) resolves cholestatic picture prevents septic complications. The ideal decompression system, transjugular intrahepatic porto-systemic shunt a shunt. Unfortunately, few will candidates for these extension thrombotic process. purpose this paper report first 3 cases PHB seen Colombian center review literature.

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