[Biliary abnormalities associated to portal Cavernoma. About 17 cases].
Portal biliopathy is a newly introduced term, describing the changes observed in the biliary ducts secondary to extrinsic compression by the portal cavernoma. It's a rare condition that is usually not diagnosed.


OBJECTIVE
To explore the principles of diagnosis and treatment of portal biliopathy.


METHODS
seventeen patients with extrahepatic portal vein obstruction were reviewed prospectively.


RESULTS
symptomatic biliary obstruction was found in 82%. Endoscopic retrograde cholangiography revealed abnormality of the bile duct wall in all cases, with stricture in 11 patients. Endoscopic treatment was necessary in 10 patients, whether portosystemic shunting was done only in 2 cases.


CONCLUSIONS
Portal biliopathy is frequent and must be diagnosed early.
Belhadjbrik
Najet
N
Service de gastro-entérologie de l'hôpital Habib Thameur.
Kchaou-Ouakaa
Asma
A
Kharrat
Jamel
J
Elloumi
Hela
H
Gargouri
Dalila
D
Kochlef
Asma
A
Ghorbel
Abdeljabbar
A
D000328:Adult; D001649:Bile Duct Diseases / Q000209:etiology*; D002760:Cholangiopancreatography, Endoscopic Retrograde; D002779:Cholestasis / Q000209:etiology; D003251:Constriction, Pathologic / Q000209:etiology; D004108:Dilatation, Pathologic / Q000150:complications; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D011169:Portal Vein / Q000473:pathology*; D011446:Prospective Studies; D018608:Ultrasonography, Doppler; D014652:Vascular Diseases / Q000150:complications*