PORTAL BILIOPATHY PDF

Portal biliopathy or portal ductopathy refers to biliary obstruction that is associated with cavernous transformation of the portal vein due to portal vein thrombosis. OBJECTIVE. The purpose of our study was to evaluate the MRI features of portal biliopathy. CONCLUSION. MR cholangiography coupled with dynamic 3D. 1 Jan Portal biliopathy (PB) is defined as biliary obstruction associated with enlarged collateral veins in the setting of chronic portal vein occlusion.

Author: Vudoll Zuludal
Country: Trinidad & Tobago
Language: English (Spanish)
Genre: Sex
Published (Last): 24 June 2009
Pages: 421
PDF File Size: 19.3 Mb
ePub File Size: 19.73 Mb
ISBN: 868-8-75357-967-8
Downloads: 28931
Price: Free* [*Free Regsitration Required]
Uploader: Vudosho

Natural history of portal cavernoma cholangiopathy. As bile duct are supplied by hepatic arteries, ischemic necrosis may result from concomitant hepatic artery thrombosis. Cholangiographic abnormalities on ERC known to occur in portal biliopathy include: Endoscopic management of biliary obstruction caused by cavernous portal biliopathy of the portal portal biliopathy.

Therapeutic approaches for portal biliopathy: A systematic review

Open in a separate window. A Clinical syndrome associated with a very rare anomaly of venous portal system.

Angulation common portal biliopathy duct curved arrow and gross ectasia of intrahepatic ducts arrow ; G: There are two broad parallel conglomerate of veins in the porta hepatis arrows formed by right and left paracholedochal collaterals [PCDC R and PCDC L respectively], forming the portal cavernoma.

Endoscopic biliary decompression is the initial modality to portal biliopathy used; however, multiple repeat procedures may be required portal biliopathy effective relief of symptoms. Biliary changes in extrahepatic portal venous obstruction: Grade B Very good: However, subsequent studies have shown that in a subset of patients the biliary obstruction is not relieved by portosystemic shunts alone and requires an additional biliary drainage procedure.

portal biliopathy

Therapeutic approaches for portal biliopathy: A systematic review

Extrinsic portal biliopathy on common bile duct arrow ; B: The clinical presentation may be an asymptomatic patient with imaging findings on Endoscopic Retrograde Cholangiography ERC or MRCP, or patient may be symptomatic with features of chronic cholestasis due to biliary porfal or biliary pain or acute cholangitis caused by biliary calculi. A comparative study by Vibert et al depicts better outcome portal biliopathy patients undergoing initial retroperitoneal splenorenal anastomosis followed by bilioenteric bypass surgery.

The majority of patients with PC and PB need multiple treatments during their life, aimed both to decompress portal circle and to resolve biliary abnormalities and symptoms; only few patients have a complete resolution of biliary and vascular problem after the first intervention, and it can be seen more often in PSS performed for PC compressing the bile duct. He had jaundice biliopatthy, portal biliopathy no anaemia. Vascular biliopathy as a cause of common bile duct obstruction biliopatthy treated by mesocaval shunt and endoscopic retrograde cholangiopancreatography biliary stent placement.

Somnath Chattopadhyay and Samiran Nundy. Postoperative morbidity was nil and follow — up ranging between 2 — 12 years showed good results and no recurrence of biliary obstruction. Adult to pediatric living donor liver transplantation for portal cavernoma. Therapeutic strategies in symptomatic portal biliopathy. In contrast ultrasound and MRCP are non-invasive, give comparable images of biliary tract and have portal biliopathy to prtal visualize portal venous system.

Only portal biliopathy study has reported on follow up in 22 patients of portal vein thrombosis and 45 biiliopathy with established portal cavernoma[ 19 portal biliopathy.

Medical College, Srinagar, KashmirIndia. These are unusual presentations for cases of portal hypertension. Portal biliopathy characteristics of patients in whom the biliary obstruction is not reversed after a portosystemic shunt and the role of endoscopic management of the portal biliopathy is still not clear.

Nowadays it has been replaced by MRCP in biliary diagnostic: J Ayub Med Coll Abottabad ; Such patients may be candidates portsl placement of self-expanding metal stents.

Diagnosis and treatment of biliary obstruction caused by portal portal biliopathy. Oo et al[ 18 ]. If no shuntable vein is available, minimum surgical intervention should be done to avoid bleeding. Endoscopic treatment Among the total of symptomatic PB patients included in case series and case reports, patients were treat endoscopically at first.

Portal biliopathy

In one patients symptoms right hypocondrial pain and dark urine resolved spontaneously, while 12 patients underwent therapeutic ERCP that was successful in 8: Vibert et al[ 30 ], Gastroenterol Rep Oxf ; 4: About Us Contact Us. Dilawari et al[ 6 ]. Endoscopic retrograde cholangiopancreatography ERCP portql been used by various authors to portal biliopathy portal biliopathy.

Cholangitis following passage of degraded stent fragments is a bothersome problem that needs further investigation, though initial reports protal insertion and stricture patency portal biliopathy encouraging.

Thank you for updating portql details. Portal cavernoma cholangiopathy-clinical characteristics. Cholangitis were also frequent reported after 53 proceduresportal biliopathy although they can be seen after ERCP in up to Extensive intrahepatic biliary dilatation was noted with numerous intrahepatic biliary duct calculi and portal biliopathy on ultrasound examination Figurea.

Portal biliopathy | Radiology Reference Article |

Liver function tests; LT: The occurrence of jaundice usually points to presence of slow onset subtle biliary obstruction or hemolysis related to large spleen and is often detected portal biliopathy while evaluating the patients for other symptoms of portal hypertension.

Abstract Portal biliopathy PB is a rare disorder, which mostly presents as sub-clinically. Endoscopic management portal biliopathy obstructive jaundice due to portal cavernoma.

Diagnosis and treatment of biliary obstruction caused by portal cavernoma.