Liver atrophy complicating benign bile duct strictures. Surgical and interventional radiologic approaches

American Journal of Surgery
A CzerniakL H Blumgart

Abstract

The hepatic atrophy and hypertrophy complex has been described in a selected group of nine patients with benign bile duct stricture. The clinical features common to this group were a high biliary stricture and a long-standing history of cholangitis and intermittent jaundice. A history of multiple surgical procedures and associated vascular damage or portal hypertension is strongly suggestive of the atrophy and hypertrophy complex. The radiologic criteria for the diagnosis of this condition are presented. Computerized tomography and HIDA scintigraphy were valuable as noninvasive means to diagnose lobar liver atrophy. The atrophy and hypertrophy complex described herein poses significant therapeutic problems and demands approaches other than those normally applicable for high biliary strictures. A combined surgical and radiologic approach with additional interventional radiologic procedures may be appropriate in patients in whom hilar anastomosis is difficult or impossible.

References

May 1, 1979·The British Journal of Surgery·J M Ham
Nov 1, 1979·The British Journal of Surgery·L H BlumgartC B Wood
Oct 1, 1978·Radiology·W Molnar, A E Stockum
Sep 1, 1985·Journal of Clinical Pathology·K WeinbrenL H Blumgart
Sep 1, 1973·The American Journal of Roentgenology, Radium Therapy, and Nuclear Medicine·S GallowayJ B Price
Nov 1, 1984·The British Journal of Surgery·L H BlumgartI S Benjamin

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Citations

Jan 1, 1987·Langenbecks Archiv für Chirurgie·L H Blumgart
Jun 1, 2008·Seminars in Interventional Radiology·Robin D KimKevin E Behrns
Sep 27, 2001·Annals of Surgery·W R JarnaginL H Blumgart
May 1, 1992·Journal of Gastroenterology and Hepatology·S T Fan, J Wong
Jul 1, 1990·World Journal of Surgery·J M Ham
Jul 4, 2012·Journal of the American College of Surgeons·Kenichi MatsuoWilliam R Jarnagin
Nov 7, 2006·Surgery·Chandrakanth AreWilliam R Jarnagin
Jun 24, 2006·International Journal of Radiation Oncology, Biology, Physics·Whoon Jong KilJoong-Won Park
Apr 1, 1998·Radiologic Clinics of North America·J N Vauthey
Apr 6, 2002·Clinics in Liver Disease·J Nicolas Vauthey, Dennis L Rousseau
Oct 23, 2016·Abdominal Radiology·Kenneth Eng Ling KwanCher Heng Tan
Mar 27, 2009·World Journal of Gastroenterology : WJG·Radoje-B Colovic
Sep 3, 2009·World Journal of Gastroenterology : WJG·Beata Jabłońska, Paweł Lampe
Nov 1, 1989·The Australian and New Zealand Journal of Surgery·A Czerniak, L H Blumgart
Jul 1, 1991·Gastroenterologia Japonica·G L Liu, Y T Huang

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