Endoscopic management of portal cavernoma cholangiopathy: practice, principles and strategy

Journal of Clinical and Experimental Hepatology
Vivek A SaraswatRadha K Dhiman

Abstract

Portal cavernoma cholangiopathy (PCC) is the presence of typical cholangiographic changes in patients with a portal cavernoma due to chronic portal vein thrombosis, in the absence of other biliary tract diseases. Probably due to biliary stasis related to the cavernoma, there is a high incidence of biliary sludge and calculi in PCC, which trigger symptoms that resolve with appropriate interventions. Persistent and troublesome symptoms are usually due to biliary stenoses or strictures, which may occur with or without biliary calculi and may be short or long, solitary or multifocal, extrahepatic or intrahepatic. Experience with endoscopic interventions in PCC over the last twenty years has shown that it is the procedure of choice for bile duct calculi. Plastic stenting with repeated, timely, stent exchanges is the first line intervention for jaundice or cholangitis due to biliary strictures. If biliary obstruction does not resolve, portosystemic shunt surgery (PSS) or transjugular intrahepatic portosystemic stent shunt (TIPS) is performed to decompress the portal cavernoma. However, for patients with non-shuntable veins or blocked shunts, repeated plastic stent exchanges are the only option though there are reports of the use of b...Continue Reading

References

Mar 1, 1988·AJR. American Journal of Roentgenology·S Kim, F S Chew
Apr 1, 1993·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·J M LöhrW E Fleig
Jul 1, 1996·Journal of Hepatology·G PerlemuterC Buffet
May 30, 2003·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Bertrand CondatDominique Valla
Dec 22, 2004·Journal of Gastroenterology and Hepatology·Ritu KhareVinay K Kapoor
Dec 16, 2006·Gut·Radha K DhimanSudha Suri
Jun 27, 2007·Annals of Surgery·Eric VibertDenis Castaing
Feb 13, 2009·European Journal of Gastroenterology & Hepatology·Ye Htun OoDouglas Thorburn
May 5, 2009·Gastrointestinal Endoscopy·Malay Sharma, Rajesh Prabhu Ponnusamy
Apr 7, 2010·Gastrointestinal Endoscopy·Pankaj TyagiB C Sharma
Dec 17, 2010·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Anil Kumar AgarwalS P Girish
Jan 29, 2011·Gut·Elba LlopJuan Carlos García-Pagán
Jun 8, 2012·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Somnath ChattopadhyaySamiran Nundy

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Citations

Mar 11, 2015·Journal of Clinical and Experimental Hepatology·Swastik Agrawal, Radha K Dhiman
Mar 11, 2015·Journal of Clinical and Experimental Hepatology·Radha K DhimanJang B Dilawari
Nov 9, 2015·Gastroenterología y hepatología·Elba Llop, Susana Seijo
Jun 28, 2016·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Safi DokmakJacques Belghiti
Dec 27, 2016·World Journal of Gastroenterology : WJG·Irene FranceschetMarco Senzolo
Aug 18, 2018·Gastroenterology Research and Practice·Rani BerryJames H Tabibian
Sep 28, 2016·World Journal of Gastroenterology : WJG·Mohammad S KhurooMehnaaz S Khuroo
Jan 3, 2020·The American Journal of Gastroenterology·Douglas A SimonettoPatrick S Kamath
Jun 24, 2017·Journal of Clinical Gastroenterology·Scott CathcartMicheal Schuster
Aug 21, 2020·Clinics and Research in Hepatology and Gastroenterology·Laure ElkriefChristophe Bureau

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