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n South African Journal of Surgery - Single-stage definitive surgical treatment for portal biliopathy : case report

Volume 52, Issue 2
  • ISSN : 0038-2361
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Abstract

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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/content/m_sajs/52/2/EJC155036
2014-06-01
2016-12-11

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