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Left Lobe Atrophy in Portal Biliopathy: a Blessing in Disguise

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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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Fig. 1
Fig. 2

Abbreviations

EHPVO:

extrahepatic portal vein obstruction

PB:

portal biliopathy

PSS:

portosystemic shunt surgery

S3HJ:

segment 3 duct Roux-enY hepaticojejunostomy

SV:

splenic vein

References

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Authors and Affiliations

  1. Mission Gastrocare, an Institute of Gastroenterology, Liver – Pancreas & GI Cancer Sciences, 02/03 – Purv Prime, Near Natubhai Circle, Gotri Road, Vadodara, Gujarat, 390007, India

    Jitendra Mistry

  2. Tricolor Hospital, Vadodara, Gujarat, India

    Deepali Mistry

  3. Hepatology, Liver Clinic, Vadodara, Gujarat, India

    Prashant Buch

  4. Gastrocare Hospital, Vadodara, Gujarat, India

    Suresh Zinzuvadia

Authors
  1. Jitendra Mistry
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  2. Deepali Mistry
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  3. Prashant Buch
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  4. Suresh Zinzuvadia
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Correspondence to Jitendra Mistry.

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Mistry, J., Mistry, D., Buch, P. et al. Left Lobe Atrophy in Portal Biliopathy: a Blessing in Disguise. Indian J Surg 84 (Suppl 2), 554–555 (2022). https://doi.org/10.1007/s12262-021-03266-3

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  • DOI: https://doi.org/10.1007/s12262-021-03266-3

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