Bile duct stricture due to caused by portal biliopathy: Treatment with one-stage portal-systemic shunt and biliary bypass

被引:8
|
作者
D'Souza M.A. [1 ]
Desai D. [2 ]
Joshi A. [2 ]
Abraham P. [2 ]
Shah S.R. [1 ]
机构
[1] Division of Gastrointestinal Surgery, P. D. Hinduja National Hospital and Medical Research Centre, Mahim
[2] Division of Gastroenterology, P. D. Hinduja National Hospital and Medical Research Centre, Mahim
关键词
Bile ducts; Gall bladder calculi; Magnetic resonance cholangiopancreatography;
D O I
10.1007/s12664-009-0010-7
中图分类号
学科分类号
摘要
Portal biliopathy is a rare complication of extrahepatic portal vein obstruction. Jaundice occurs in symptomatic patients with fibrotic strictures. Short-term improvement in such patients can be achieved with endoscopic retrograde cholangio-pancreatography with balloon dilatation and stent placement. Surgery in these patients is traditionally two staged. We report the results of a one-stage procedure combining non-selective portal-systemic shunt surgery with biliary bypass, performed successfully on a 24-year-old man with a tight biliary stricture resulting from portal biliopathy. At 18-month follow up, the patient shows he is doing well, with normal liver function tests. © Indian Society of Gastroenterology 2009.
引用
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页码:35 / 37
页数:2
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