Post-cholecystectomy benign @entity253 with portal XXXX : is a portosystemic shunt before hepaticojejunostomy necessary?

@entity1 @entity101 @entity548 @entity1087 @entity409 @entity253 @entity255
BACKGROUND: Portal @entity101 develops in 15-20% of @entity1 with benign bile duct stricture. Hepaticojejunostomy in such @entity1 is associated with considerable morbidity and mortality. Preliminary portosystemic shunting has been suggested to reduce @entity548 . We present our experience without preliminary shunting in such @entity1 . @entity1 AND METHODS: Fourteen consecutive cases of @entity253 with portal @entity101 over a 13-year period (1989-2001) were retrospectively analysed. RESULTS: Thirteen @entity1 were operated upon. One @entity1 had a preliminary portosystemic shunt. In another @entity1 , shunt was attempted. One stage hepaticojejunostomy was possible in 11 @entity1 . There were no intra-operative deaths. Nine of the 13 survived and were available for follow-up. One @entity1 had @entity255 . Another had @entity1087 related @entity409 and a strictured hepaticojejunostomy. The remaining 7 @entity1 are asymptomatic and anicteric although alkaline phosphatase levels remain elevated in 5 of them. CONCLUSIONS: Hepaticojejunostomy without preliminary portosystemic shunting is possible in @entity1 with portal @entity101 and benign @entity253 with acceptable morbidity and mortality rates.
