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KMID : 1040620160220010172
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Clinical and Molecular Hepatology
2016 Volume.22 No. 1 p.172 ~ p.176
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Portal biliopathy treated with endoscopic biliary stenting
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Jeon Sung-Jin
Min Jae-Ki
Kwon So-Young
Kim Jun-Hyun
Moon Sun-Young
Lee Kang-Hoon
Kim Jeong-Han
Choe Won-Hyeok
Cheon Young-Koog
Kim Tae-Hyung
Park Hee-Sun
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Abstract
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Portal biliopathy is defined as abnormalities in the extra- and intrahepatic ducts and gallbladder of patients with portal hypertension. This condition is associated with extrahepatic venous obstruction and dilatation of the venous plexus of the common bile duct, resulting in mural irregularities and compression of the biliary tree. Most patients with portal biliopathy remain asymptomatic, but approximately 10% of them advance to symptomatic abdominal pain, jaundice, and fever. Magnetic resonance cholangiopancreatography and endoscopic retrograde cholangiopancreatography are currently used as diagnostic tools because they are noninvasive and can be used to assess the regularity, length, and degree of bile duct narrowing. Management of portal biliopathy is aimed at biliary decompression and reducing the portal pressure. Portal biliopathy has rarely been reported in Korea. We present a symptomatic case of portal biliopathy that was complicated by cholangitis and successfully treated with biliary endoscopic procedures.
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KEYWORD
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Bile duct obstruction, Portal hypertension, Endoscopic retrograde cholangiopancreatography, Biliary stent
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