Single-stage definitive surgical treatment for portal biliopathy

Journal Article

2014

Permanent link to this Item
http://hdl.handle.net/11427/34819
Files
BernonMarcM_Single_stage_de_2014.pdf (206.9 KB)
Authors
Bernon, Marc M
Sonderup, Mark W
Chinnery, G E
Bornman, Philippus C
Krige, Jake E J
Journal Title

South African Journal of Surgery

Link to Journal
https://dx.doi.org/10.7196/sajs.2062
Journal ISSN
Volume Title
Publisher
Publisher
Department
Department of Surgery
Faculty
Faculty of Health Sciences
License
Series
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.
Description
Keywords
Adult
Anastomosis, Surgical
Suture Techniques
Cholestasis
Constriction, Pathologic
Diagnostic Imaging
Diathermy
Humans
Hypertension, Portal
Male
Stents

Reference:

Bernon, M.M., Sonderup, M.W., Chinnery, G.E., Bornman, P.C. & Krige, J.E.J. 2014. Single-stage definitive surgical treatment for portal biliopathy. South African Journal of Surgery. 52(2):57 - 177. http://hdl.handle.net/11427/34819

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