title: Partial internal biliary diversion in progressive familial intrahepatic cholestasis: introduction of a new approach.
abstract: BACKGROUND
  Facilitation of biliary salts secretion represents the mainstay of treatment for progressive familial intrahepatic cholestasis (PFIC). The purpose of this study was to introduce a new approach for the treatment of progressive familial intrahepatic cholestasis (PFIC) to avoid ostoma.
  
  
  METHODS
  An 11-year-old girl with the diagnosis of PFIC underwent cholecystoappendicostomy with myotomy operation. Because of anastomosis stricture, she was reoperated with cholecystojejunocolic anastomosis and intussuscepted valve surgery. She was followed for 9 months. Despite disappointing outcomes of internal drainage with cholecystoappendicostomy, results of cholecystojejunocolic anastomosis with intussuscepted valve surgery were promising.
  
  
  CONCLUSIONS
  The cholecystojejunocolic anastomosis with intussuscepted valve surgery could be considered as a forthcoming approach in the treatment of intrahepatic cholestasis.
authors.affiliation: Department of Pediatric Surgery, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, IR Iran.
authors.forename: Seyed Abdollah
authors.initials: SA
authors.lastname: Mousavi
authors.affiliation: Department of Pediatric Surgery, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, IR Iran.
authors.forename: Hasan
authors.initials: H
authors.lastname: Karami
keywords: Billiary Diversion; Cholestasis; Pruritus