Chandra, Ramesh ; Kapoor, Dharmesh ; Tharakan, Ajith ; Chaudhary, Adarsh ; Sarin, Shiv Kumar (2001) Portal biliopathy Journal of Gastroenterology and Hepatology, 16 (10). pp. 1086-1092. ISSN 0815-9319
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Official URL: http://onlinelibrary.wiley.com/doi/10.1046/j.1440-...
Related URL: http://dx.doi.org/10.1046/j.1440-1746.2001.02562.x
Abstract
In patients with portal hypertension, particularly with extrahepatic portal vein obstruction, portal biliopathy producing biliary ductal and gallbladder wall abnormalities are common. Portal cavernoma formation, choledochal varices and ischemic injury of the bile duct have been implicated as causes of these morphological alterations. While a majority of the patients are asymptomatic, some present with a raised alkaline phosphatase level, abdominal pain, fever and cholangitis. Choledocholithiasis may develop as a complication and manifest as obstructive jaundice with or without cholangitis. Endoscopic sphincterotomy and stone extraction can effectively treat cholangitis when jaundice is associated with common bile duct stone(s). Definitive decompressive shunt surgery is sometimes required when biliary obstruction is recurrent and progressive.
Item Type: | Article |
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Source: | Copyright of this article belongs to John Wiley and Sons. |
Keywords: | Bile Duct Varices; Common Bile Duct Dilatation; Common Bile Duct Stones; Common Bile Duct Stricture; Extrahepatic Portal Vein Obstruction; Gallbladder Varices |
ID Code: | 44203 |
Deposited On: | 21 Jun 2011 05:00 |
Last Modified: | 18 May 2016 00:58 |
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