South African Journal of Surgery
On-line version ISSN 2078-5151
Print version ISSN 0038-2361
BERNON, M M et al. Single-stage definitive surgical treatment for portal biliopathy. S. Afr. j. surg. [online]. 2014, vol.52, n.2, pp.57-60. ISSN 2078-5151.
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 persisted. An intrahepatic segment 3 bypass provides definitive treatment ensuring biliary decompression and stone removal in a single procedure in appropriately selected patients.