n South African Journal of Surgery - Single-stage definitive surgical treatment for portal biliopathy : case report
|Article Title||Single-stage definitive surgical treatment for portal biliopathy : case report|
|© Publisher:||Medpharm Publications|
|Journal||South African Journal of Surgery|
|Affiliations||1 Groote Schuur Hospital, 2 Groote Schuur Hospital, 3 Groote Schuur Hospital, 4 Groote Schuur Hospital, 5 Groote Schuur Hospital, 6 University of Cape Town, 7 University of Cape Town, 8 University of Cape Town, 9 University of Cape Town and 10 University of Cape Town|
|Publication Date||Jun 2014|
|Pages||57 - 60|
The term portal biliopathy (PB) is used to describe the biliary abnormalities associated with portal hypertension. Between 5% and 30% of patients with PB develop biliary obstruction. We report on a patient with extrahepatic biliary obstruction caused by PB that was successfully managed with an intrahepatic segment 3 bypass. The traditional surgical approach for a patient with extrahepatic biliary obstruction caused by PB would be a portosystemic shunt followed by a hepaticojejenostomy if the jaundice persisted. An intrahepatic segment 3 bypass provides definitive treatment ensuring biliary decompression and stone removal in a single procedure in appropriately selected patients.
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