Publication Type : Journal Article
Publisher : Elsevier
Source : The American Journal of Surgery
Url : https://www.sciencedirect.com/science/article/pii/S0002961008000214
Campus : Faridabad
School : School of Medicine
Year : 2008
Abstract :
Background
Portal hypertension (PHT) is seen in 15% to 20% of patients with postcholecystectomy benign biliary stricture (BBS). Preliminary portosystemic shunt (PSS) has been recommended to reduce the morbidity and mortality associated with direct stricture repair. Single-center experience of primary repair without preceding PSS in patients of BBS with PHT and a patent portal vein is presented.
Methods
A retrospective study of 13 patients with postcholecystectomy BBS with PHT managed between January 1, 2000 and March 31, 2006.
Results
Roux-en-Y hepaticojejunostomy was performed in 11 patients. There was no major morbidity or mortality with minor complications seen in 3 patients. The median duration of surgery was 3.5 hours with a median blood loss of 300 mL. All patients were asymptomatic at a median follow-up of 17 months.
Conclusion
Hepaticojejunostomy can be performed safely without prior portal decompression in patients with postcholecystectomy BBS complicated by PHT but with a patent portal vein.
Cite this Research Publication : Agarwal AK, Gupta V, Singh S, Shaleen Agarwal, Sakhuja P, Management of post cholecystectomy benign biliary strictures complicated by portal hypertension,The American Journal of Surgery,2008.