Browsing by Author "Bernon, Marc M"

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    Single-stage definitive surgical treatment for portal biliopathy
    (2014) Bernon, Marc M; Sonderup, Mark W; Chinnery, G E; Bornman, Philippus C; Krige, Jake E J
    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.