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29-01-2022 | Portal Hypertension | Images in Surgery

Left Lobe Atrophy in Portal Biliopathy: a Blessing in Disguise

Authors: Jitendra Mistry, Deepali Mistry, Prashant Buch, Suresh Zinzuvadia

Published in: Indian Journal of Surgery | Special Issue 2/2022

Abstract

Portal biliopathy is more commonly seen with extrahepatic portal vein obstruction. Ideal treatment for portal biliopathy is portosystemic shunt surgery, followed by bilioenteric anastomosis if biliopathy does not get resolved after shunt surgery. In cases where shunt surgery is not feasible, in selected cases with dilated segment 3 duct and atrophied left lobe, Roux-enY hepaticojejunostomy with segment 3 duct can be done on the surface of the liver. Combination of atrophied left lobe and dilated segment 3 duct should be sought in such difficult cases.

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Franceschet I, Zanetto A, Ferrarese A, Burra P, Senzolo M (2016) Therapeutic approaches for portal biliopathy: a systematic review. World J Gastroenterol 22(45):9909–9920. https://doi.org/10.3748/wjg.v22.i45.9909CrossRefPubMedPubMedCentral

Mistry J, Rao S, Mistry D (2021) Single-stage treatment for portal biliopathy in selected cases. Indian Journal of Surgery. https://doi.org/10.1007/s12262-020-02687-w

Bernon MM, Sonderup MW, Chinnery GE, Bornman PC, Krige JE (2014) Single-stage definitive surgical treatment for portal biliopathy. S Afr J Surg 52(2):57–60. https://doi.org/10.7196/sajs.2062CrossRefPubMed

Title: Left Lobe Atrophy in Portal Biliopathy: a Blessing in Disguise
Authors: Jitendra Mistry
Deepali Mistry
Prashant Buch
Suresh Zinzuvadia
Publication date: 29-01-2022
Publisher: Springer India
Keywords: Portal Hypertension
Portal Hypertension
Published in: Indian Journal of Surgery / Issue Special Issue 2/2022
Print ISSN: 0972-2068
Electronic ISSN: 0973-9793
DOI: https://doi.org/10.1007/s12262-021-03266-3

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Springer Medicine

Left Lobe Atrophy in Portal Biliopathy: a Blessing in Disguise

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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