Bile duct stricture due to caused by portal biliopathy: Treatment with one-stage portal-systemic shunt and biliary bypass |
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Authors: | Melroy A. D’souza Devendra Desai Anand Joshi Philip Abraham Sudeep R. Shah |
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Affiliation: | (1) Division of Gastrointestinal Surgery, P. D. Hinduja National Hospital and Medical Research Centre, Mahim, Mumbai, 400 016, India;(2) Division of Gastroenterology, P. D. Hinduja National Hospital and Medical Research Centre, Mahim, Mumbai, 400 016, India |
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Abstract: | 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. |
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Keywords: | Bile ducts Magnetic resonance cholangiopancreatography Gall bladder calculi |
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