title: Portal biliopathy treated with endoscopic biliary stenting.
abstract: Portal biliopathy is defined as abnormalities in the extra- and intrahepatic ducts and gallbladder of patients with portal hypertension. This condition is associated with extrahepatic venous obstruction and dilatation of the venous plexus of the common bile duct, resulting in mural irregularities and compression of the biliary tree. Most patients with portal biliopathy remain asymptomatic, but approximately 10% of them advance to symptomatic abdominal pain, jaundice, and fever. Magnetic resonance cholangiopancreatography and endoscopic retrograde cholangiopancreatography are currently used as diagnostic tools because they are noninvasive and can be used to assess the regularity, length, and degree of bile duct narrowing. Management of portal biliopathy is aimed at biliary decompression and reducing the portal pressure. Portal biliopathy has rarely been reported in Korea. We present a symptomatic case of portal biliopathy that was complicated by cholangitis and successfully treated with biliary endoscopic procedures.
authors.affiliation: Department of Internal Medicine, Konkuk University Medical Center, Seoul, Korea.
authors.forename: Sung Jin
authors.initials: SJ
authors.lastname: Jeon
authors.affiliation: Department of Internal Medicine, Konkuk University Medical Center, Seoul, Korea.
authors.forename: Jae Ki
authors.initials: JK
authors.lastname: Min
authors.affiliation: Department of Internal Medicine, Konkuk University Medical Center, Seoul, Korea.
authors.forename: So Young
authors.initials: SY
authors.lastname: Kwon
authors.affiliation: Department of Internal Medicine, Konkuk University Medical Center, Seoul, Korea.
authors.forename: Jun Hyun
authors.initials: JH
authors.lastname: Kim
authors.affiliation: Department of Internal Medicine, Konkuk University Medical Center, Seoul, Korea.
authors.forename: Sun Young
authors.initials: SY
authors.lastname: Moon
authors.affiliation: Department of Internal Medicine, Konkuk University Medical Center, Seoul, Korea.
authors.forename: Kang Hoon
authors.initials: KH
authors.lastname: Lee
authors.affiliation: Department of Internal Medicine, Konkuk University Medical Center, Seoul, Korea.
authors.forename: Jeong Han
authors.initials: JH
authors.lastname: Kim
authors.affiliation: Department of Internal Medicine, Konkuk University Medical Center, Seoul, Korea.
authors.forename: Won Hyeok
authors.initials: WH
authors.lastname: Choe
authors.affiliation: Department of Internal Medicine, Konkuk University Medical Center, Seoul, Korea.
authors.forename: Young Koog
authors.initials: YK
authors.lastname: Cheon
authors.affiliation: Department of Radiology, Konkuk University School of Medicine, Seoul, Korea.
authors.forename: Tae Hyung
authors.initials: TH
authors.lastname: Kim
authors.affiliation: Department of Radiology, Konkuk University School of Medicine, Seoul, Korea.
authors.forename: Hee Sun
authors.initials: HS
authors.lastname: Park
mesh_terms: D000005:Abdomen / Q000000981:diagnostic imaging; D002760:Cholangiopancreatography, Endoscopic Retrograde; D002779:Cholestasis / Q000175:diagnosis*; D006801:Humans; D006975:Hypertension, Portal / Q000175:diagnosis*; D008297:Male; D008875:Middle Aged; D011169:Portal Vein; D015607:Stents; D014057:Tomography, X-Ray Computed
keywords: Bile duct obstruction; Biliary stent; Endoscopic retrograde cholangiopancreatography; Portal hypertension