[Therapeutic options for portal hypertensive biliopathy: case series and literature review].
BACKGROUND
Portal hypertensive biliopathy is an underdiagnosed condition because only some patients have symptoms. The major clinical manifestations include cholestasis and cholangitis. The aim of this study is to present a series of cases evaluated, treated and followed at a tertiary-care public institution.


METHODS
Four patients with portal hypertensive biliopathy were exposed to different therapeutic approaches focused on the management of portal hypertension and biliary decompression. They were followed for ~5 years. Three cases achieved a favorable outcome with symptom remission, but one patient died while attempting dilatation of the bile duct. Finally, we carried out a literature review about actual portal hypertensive biliopathy therapeutics.


CONCLUSIONS
There is currently no consensus on the optimal treatment for this condition. The goal is to decompress the biliary tree. Each case should be individually evaluated to choose the best treatment option.
Clínica de Enfermedades Digestivas y Obesidad, Fundación Clínica Médica Sur, DF. Mexico.
Nancy Edith
NE
Aguilar-Olivos
Departamento de Gastroenterología, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, DF. Mexico.
José Luis
JL
de León-Monterroso
Departamento de Radiología e Imagen, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, DF. Mexico.
Lourdes
L
Avila-Escobedo
Departamento de Gastroenterología, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, DF. Mexico. ericlopezmendez@yahoo.com.
Eric
E
López-Méndez
D000293:Adolescent; D000328:Adult; D001649:Bile Duct Diseases / Q000209:etiology* / Q000628:therapy*; D017809:Fatal Outcome; D006801:Humans; D006975:Hypertension, Portal / Q000150:complications*; D008099:Liver; D008297:Male; D055815:Young Adult
Portal vein; cavernous transformation; terapéutica; therapeutics; transformación cavernomatosa; vena porta