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South African Journal of Surgery

versão On-line ISSN 2078-5151
versão impressa 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.

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