Roux-en-Y biliary reconstruction as a definitive treatment for serious complications of portal biliopathy. Case series

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dc.article.number108571
dc.contributor.authorOchoa G.
dc.contributor.authorMarino C.
dc.contributor.authorDib M.
dc.contributor.authorBriceno E.
dc.contributor.authorMartinez J.A.
dc.contributor.authorJarufe N.
dc.date.accessioned2025-05-01T10:31:13Z
dc.date.available2025-05-01T10:31:13Z
dc.date.issued2023
dc.description.abstract© 2023 The AuthorsIntroduction and importance: Portal biliopathy (PB) is an abnormality of the biliary tree wall due to extrahepatic portal hypertension. Among the complications of portal biliopathy are digestive bleeding, jaundice, and cholangitis. Surgical treatment is an exception when medical management is not possible. Case presentation: This is a case series study of four patients with severe PB complications requiring surgical management in our center from 2005 to 2016. Two of them had previous surgical procedures related to portal hypertension. All presented with severe biliary stenosis and recurrent cholangitis, and two also had massive upper gastrointestinal bleeding. Because of endoscopic management failure, a Roux-en-Y hepaticojejunostomy was performed in all cases. Two patients presented morbidity Clavien-Dindo>IIIA, requiring reoperation. During follow-up, no one developed other complications related to PB. Discussion: Surgical treatment for PB complications is a challenge and mainly implies a portosystemic shunt as a first step. When it fails, an alternative is perform a biliodigestive anastomoses, with high risk of bleeding given the prominent collaterals present in the hepatoduodenal pedicle secondary to portal cavernomatosis. Conclusion: Our patients after YRGB didn't present new complications due to PB. The surgery could be a definite solution for PB complications. It has only been made for selective cases because it implies high complexity and risk.
dc.description.funderSalud Urbana en América Latina
dc.description.funderWellcome Trust
dc.format.extent13 páginas
dc.fuente.origenScopus
dc.identifier.doi10.1016/j.ijscr.2023.108571
dc.identifier.eisbn978-1-5106-5352-8
dc.identifier.eissn1542-7714
dc.identifier.isbn978-1-5106-5351-1
dc.identifier.issn22102612
dc.identifier.pubmedid40243597
dc.identifier.scieloidS0718-69242020000300109
dc.identifier.scopusidSCOPUS_ID:85167413176
dc.identifier.urihttps://doi.org/10.1016/j.ijscr.2023.108571
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/103727
dc.identifier.wosidWOS:001041646600005
dc.information.autorucEscuela de Medicina; Briceno Valenzuela Eduardo Andres; S/I; 18751
dc.issue.numero8
dc.language.isoen
dc.nota.accesoContenido completo
dc.pagina.final2134
dc.pagina.inicio2124
dc.relation.ispartofInternational Conference on Intelligent User Interfaces (30a. : 2025)
dc.revistaInternational Journal of Surgery Case Reports
dc.rightsacceso abierto
dc.subjectBiliary obstruction
dc.subjectPortal biliopathy
dc.subjectPortal hypertension
dc.subject.ddc510
dc.subject.deweyMatemática física y químicaes_ES
dc.subject.ods03 Good health and well-being
dc.subject.odspa03 Salud y bienestar
dc.titleRoux-en-Y biliary reconstruction as a definitive treatment for serious complications of portal biliopathy. Case series
dc.typeartículo
dc.volumen110
sipa.codpersvinculados18751
sipa.indexScopus
sipa.trazabilidadCarga WOS-SCOPUS;01-05-2025
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