Bile duct obstruction due to portal biliopathy in extrahepatic portal hypertension: surgical management

The British Journal of Surgery
A ChaudharyS L Broor

Abstract

Varices can develop in and around the bile duct in the presence of portal hypertension, especially when it is caused by extrahepatic portal vein thrombosis. The term 'portal biliopathy' is used to describe changes in the bile duct due to these varices, which may cause bile duct obstruction. This paper reviews experience of the surgical management of patients with symptomatic portal biliopathy. Nine patients with extrahepatic portal vein obstruction with symptomatic portal biliopathy. were reviewed retrospectively. Eight patients presented with jaundice, two had abdominal pain and one had recurrent cholangitis. Endoscopic retrograde cholangiography revealed abnormality of the bile duct wall, with stricture in eight patients and bile duct calculi in two. Portasystemic shunting relieved jaundice in five of seven patients, and in two a second-stage hepaticojejunostomy was required. Symptomatic biliary obstruction in patients with extrahepatic portal hypertension may be relieved by a portasystemic shunt. Rarely biliary bypass may be required and is rendered safer by previous portasystemic shunting to decompress the pericholedochal varices. A direct approach to the biliary tract without a preliminary shunt may be hazardous and is fre...Continue Reading

References

Dec 1, 1978·The British Journal of Radiology·H C MeredithP H O'Brien
Dec 1, 1988·Digestive Diseases and Sciences·G ChoudhuriN K Misra
Mar 1, 1988·AJR. American Journal of Roentgenology·S Kim, F S Chew
Oct 1, 1985·Archives of Surgery·R SpiraA A Coello
Jan 1, 1982·Gastrointestinal Radiology·S M WilliamsM J Mazer
May 1, 1993·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·M S KhurooM I Boda

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Citations

Jan 18, 2006·Digestive Diseases and Sciences·Alexandre LouvetPhilippe Mathurin
Feb 2, 2013·The Indian Journal of Surgery·Sujoy Pal
Jun 17, 2009·Indian Journal of Gastroenterology : Official Journal of the Indian Society of Gastroenterology·Melroy A D'SouzaSudeep R Shah
Nov 26, 2009·Indian Journal of Gastroenterology : Official Journal of the Indian Society of Gastroenterology·Vidhyachandra Gandhi, Sanjay Nagral
Apr 30, 2004·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·G S MijnhoutS G M Meuwissen
Dec 18, 2004·Gastrointestinal Endoscopy·Jason L UmphressShiro Urayama
Dec 28, 2002·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·M MutignaniG Costamagna
Sep 5, 2006·Nature Clinical Practice. Gastroenterology & Hepatology·Bertrand Condat, Dominique Valla
Sep 14, 2001·Journal of Gastroenterology and Hepatology·U PoddarK Singh
Nov 1, 2001·Journal of Gastroenterology and Hepatology·R ChandraS K Sarin
Apr 29, 1998·Journal of Women's Health
May 25, 2006·Journal of Clinical Gastroenterology·Abraham Koshy
Jan 27, 2004·Transplantation·Franco FilipponiPaolo Romagnoli
Jun 27, 2007·Annals of Surgery·Eric VibertDenis Castaing
Oct 24, 2009·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Pankaj TyagiAmerender S Puri
Jan 13, 2005·Alimentary Pharmacology & Therapeutics·G J M WebsterS M Riordan
Dec 22, 2004·Journal of Gastroenterology and Hepatology·Ritu KhareVinay K Kapoor
Dec 16, 2006·Gut·Radha K DhimanSudha Suri
Jul 9, 2009·HPB Surgery : a World Journal of Hepatic, Pancreatic and Biliary Surgery·Konstantinos VasiliadisJan Schmidt
Jul 20, 2012·HPB Surgery : a World Journal of Hepatic, Pancreatic and Biliary Surgery·M P Senthil Kumar, R Marudanayagam
Oct 13, 2010·Digestive Surgery·Antoine CamerloYves Patrice Le Treut
Jul 19, 2012·World Journal of Gastroenterology : WJG·Ozgur Harmanci, Yusuf Bayraktar
Nov 28, 2012·World Journal of Gastroenterology : WJG·Somnath Chattopadhyay, Samiran Nundy
Jul 31, 2012·Clinical Medicine Insights. Case Reports·Sern Wei Yeoh
Feb 24, 2010·Indian Journal of Gastroenterology : Official Journal of the Indian Society of Gastroenterology·Sujoy Pal, Peush Sahni
Sep 23, 2003·The British Journal of Radiology·A ChawlaH Parmar
Feb 14, 2008·European Journal of Pediatrics·Wael El-MatarySimon C Ling
Mar 11, 2015·Journal of Clinical and Experimental Hepatology·Radha K DhimanJang B Dilawari
Mar 11, 2015·Journal of Clinical and Experimental Hepatology·Vivek A SaraswatRadha K Dhiman
Mar 11, 2015·Journal of Clinical and Experimental Hepatology·Vibha VarmaSamiran Nundy
Dec 17, 2010·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Anil Kumar AgarwalS P Girish
Sep 6, 2011·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Vivek ManglaSujoy Pal
Jun 8, 2012·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Somnath ChattopadhyaySamiran Nundy
Jun 2, 2010·Cirugía española·Francisco Ruiz GómezJoan Figueras
Nov 1, 2015·Cardiovascular and Interventional Radiology·Dongho HyunDong Hyun Sinn
Sep 22, 2009·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·Massimo Primignani
Oct 18, 2005·Seminars in Pediatric Surgery·Frédéric Gauthier
Aug 15, 2009·Alimentary Pharmacology & Therapeutics·Y ChawlaR K Dhiman
Nov 14, 2006·Pediatric Transplantation·Riccardo SuperinaJean de Ville de Goyet
Apr 29, 2009·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Laurie D DeLeveUNKNOWN American Association for the Study Liver Diseases
Jan 11, 2013·Journal of Gastroenterology and Hepatology·Sujoy PalSamiran Nundy
Apr 7, 2005·The Journal of Pediatrics·Marion Gauthier-VillarsOlivier Bernard
Jul 14, 2006·Annales de chirurgie·N Ben ChaabaneH Saffar

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