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<p>Extrahepatic portal vein obstruction (EHPVO) is a condition that usually affects young adults and is associated with non-cirrhotic (NC) portal hypertension and portal cholangiopathy. Logically portal vein recanalization (PVR) should address the primary abnormality in this condition and thus be preferred treatment. However, these patients are traditionally treated by managing the complications of portal hypertension and portal biliopathy; and not by PVR mainly due to difficulty in achieving successful PVR. With improvements in interventional radiology equipment, PVR may be possible in carefully selected patients and thus become a suitable option to decompress the portal venous system and help treat portal biliopathy. A 48 year old female who is a known case of NC-EHPVO with portal biliopathy presented to us with cholelithiasis, choledocholithiasis and cholangitis. PVR was done which was followed by cholecystectomy and hepaticojejunostomy. At 25 months follow-up the patient is doing well without any recurrence of cholangitis. PVR recanalization may be a suitable option in patients with NC-EHPVO.</p>

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Radiological Portal Vein Recanalization and Surgical Roux-en-Y Hepaticojejunostomy: Exploring newer Treatment Options for Extrahepatic Portal Vein Obstruction (EHPVO) Complicated by Portal Biliopathy

  • 期刊论文

  • 发表日期：

    2026年4月21日

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  • Shahnawaz Bashir,
  • Subhash Gupta,
  • Shaleen Agarwal,
  • Inbaraj Balradja,
  • Peush Sahni

摘要

Extrahepatic portal vein obstruction (EHPVO) is a condition that usually affects young adults and is associated with non-cirrhotic (NC) portal hypertension and portal cholangiopathy. Logically portal vein recanalization (PVR) should address the primary abnormality in this condition and thus be preferred treatment. However, these patients are traditionally treated by managing the complications of portal hypertension and portal biliopathy; and not by PVR mainly due to difficulty in achieving successful PVR. With improvements in interventional radiology equipment, PVR may be possible in carefully selected patients and thus become a suitable option to decompress the portal venous system and help treat portal biliopathy. A 48 year old female who is a known case of NC-EHPVO with portal biliopathy presented to us with cholelithiasis, choledocholithiasis and cholangitis. PVR was done which was followed by cholecystectomy and hepaticojejunostomy. At 25 months follow-up the patient is doing well without any recurrence of cholangitis. PVR recanalization may be a suitable option in patients with NC-EHPVO.