Single-stage definitive surgical treatment for portal biliopathy | Zendy

M. Ber | Zendy; Mark Sonderup | Zendy; G Chinnery | Zendy; Philippus C. Bornman | Zendy; J E J Krige | Zendy

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Single-stage definitive surgical treatment for portal biliopathy

Author(s) -

M. Ber,

Mark Sonderup,

G Chinnery,

Philippus C. Bornman,

J E J Krige

Publication year - 2014

Publication title -

south african journal of surgery

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.157

H-Index - 22

eISSN - 2078-5151

pISSN - 0038-2361

DOI - 10.7196/sajs.2062

Subject(s) - medicine , portal hypertension , jaundice , stage (stratigraphy) , decompression , obstructive jaundice , surgery , radiology , gastroenterology , cirrhosis , paleontology , biology

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

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