title: Single-stage definitive surgical treatment for portal biliopathy.
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 persited. An intrahepatic segment 3 bypass provides definitive treatment ensuring biliary decompression and stone removal in a single procedure in appropriately selected patients.
authors.affiliation: HPB and Surgical Gastroenterology Unit, Groote Schuur Hospital and Department of Surgery, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa. marcbernon@mail.com.
authors.forename: Marc M
authors.initials: MM
authors.lastname: Bernon
authors.forename: Mark W
authors.initials: MW
authors.lastname: Sonderup
authors.forename: G E
authors.initials: GE
authors.lastname: Chinnery
authors.forename: Philippus C
authors.initials: PC
authors.lastname: Bornman
authors.forename: Jake E J
authors.initials: JE
authors.lastname: Krige
mesh_terms: D000328:Adult; D000714:Anastomosis, Surgical; D002779:Cholestasis / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D003251:Constriction, Pathologic; D003952:Diagnostic Imaging; D003972:Diathermy; D006801:Humans; D006975:Hypertension, Portal / Q000150:complications*; D008297:Male; D015607:Stents; D013536:Suture Techniques