title: Diagnosis and treatment of portal biliopathy.
abstract: BACKGROUND
  Portal biliopathy producing intrahepatic and extrahepatic biliary ductal abnormalities from portal hypertension, particularly with extrahepatic portal vein obstruction (EHPVO) is common. A majority of these patients are asymptomatic, but occasionally there is symptomatic biliary obstruction, and cholangitis and choledocholithiasis.
  
  
  OBJECTIVE
  To explore the principles of diagnosis and treatment of portal biliopathy.
  
  
  METHODS
  To review the literature of portal biliopathy.
  
  
  CONCLUSIONS
  Endoscopic sphincterotomy, stone extraction and supportive drainage could effectively relieve cholangitis when jaundice is associated with common bile duct stones. Definitive decompressive portal-system vein shunting operation and choledocho-jejunostomy are sometimes required when biliary obstruction is recurrent and progressive.
authors: Southwest Hepatobiliary Surgery Institute, Third Military Medical University, Chongqing 400038, China. hezhenping@yahoo.com.cn
authors: Zhen-Ping
authors: ZP
authors: He
authors: Lin-Jun
authors: LJ
authors: Fan
mesh_terms: D002779:Cholestasis / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy*; D003251:Constriction, Pathologic; D006801:Humans; D011169:Portal Vein; D014652:Vascular Diseases / Q000150:complications*