title: Bile duct stricture due to caused by portal biliopathy: Treatment with one-stage portal-systemic shunt and biliary bypass.
abstract: Portal biliopathy is a rare complication of extrahepatic portal vein obstruction. Jaundice occurs in symptomatic patients with fibrotic strictures. Short-term improvement in such patients can be achieved with endoscopic retrograde cholangio-pancreatography with balloon dilatation and stent placement. Surgery in these patients is traditionally two staged. We report the results of a one-stage procedure combining non-selective portal-systemic shunt surgery with biliary bypass, performed successfully on a 24-year-old man with a tight biliary stricture resulting from portal biliopathy. At 18-month follow up, the patient shows he is doing well, with normal liver function tests.
authors.affiliation: P. D. Hinduja National Hospital and Medical Research Centre, Mahim, Mumbai, India.
authors.forename: Melroy A
authors.initials: MA
authors.lastname: D'Souza
authors.forename: Devendra
authors.initials: D
authors.lastname: Desai
authors.forename: Anand
authors.initials: A
authors.lastname: Joshi
authors.forename: Philip
authors.initials: P
authors.lastname: Abraham
authors.forename: Sudeep R
authors.initials: SR
authors.lastname: Shah
mesh_terms: D001652:Bile Ducts / Q000473:pathology / Q000601:surgery*; D002760:Cholangiopancreatography, Endoscopic Retrograde; D002779:Cholestasis / Q000209:etiology / Q000601:surgery*; D003251:Constriction, Pathologic; D006801:Humans; D008297:Male; D011169:Portal Vein; D011170:Portasystemic Shunt, Surgical; D016896:Treatment Outcome; D055815:Young Adult