{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T08:54:24Z","timestamp":1762505664261,"version":"3.40.4"},"reference-count":24,"publisher":"S. Karger AG","issue":"5","license":[{"start":{"date-parts":[[2010,1,1]],"date-time":"2010-01-01T00:00:00Z","timestamp":1262304000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2010,1,1]],"date-time":"2010-01-01T00:00:00Z","timestamp":1262304000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dig Surg"],"published-print":{"date-parts":[[2010]]},"abstract":"<jats:p>&lt;i&gt;Background:&lt;\/i&gt; Portal biliopathy refers to abnormalities of the biliary tract developing in relation to portal hypertension. Portosystemic splenorenal or mesenterico-caval shunting is a safe and effective method to relieve biliary obstruction in symptomatic patients but is unfeasible in cases of extensive thrombosis of the splenic and superior mesenteric veins. In such cases, a makeshift portosystemic shunt between a suitable portal varix and the caval system can be an interesting alternative. &lt;i&gt;Methods:&lt;\/i&gt; This study describes 3 patients admitted for symptomatic portal biliopathy caused by idiopathic portal cavernoma associated with extensive portal thrombosis. A makeshift portosystemic shunt was carried out after preoperative portal imaging had demonstrated the presence of a suitable splanchnic varix. &lt;i&gt;Results:&lt;\/i&gt; The makeshift portosystemic shunt was performed by direct anastomosis in 2 patients and by prosthetic interposition in 1 case. Shunting was between a splanchnic varix and the inferior vena cava in 2 cases and the left renal vein in 1 case. Postoperative morbidity was nil and follow-up ranging from 2 to 12 years showed good results with no recurrence of biliary obstruction. &lt;i&gt;Conclusion:&lt;\/i&gt; In patients presenting symptomatic portal biliopathy associated with extensive thrombosis of the portal system, a makeshift portosystemic shunt is preferable to repeated endoscopic procedures or intrahepatic biliodigestive bypass, provided that a suitable varix is available.<\/jats:p>","DOI":"10.1159\/000314610","type":"journal-article","created":{"date-parts":[[2010,10,13]],"date-time":"2010-10-13T10:35:09Z","timestamp":1286966109000},"page":"380-383","source":"Crossref","is-referenced-by-count":14,"title":["Which Treatment to Choose for Portal Biliopathy with Extensive Portal Thrombosis?"],"prefix":"10.1159","volume":"27","author":[{"given":"Antoine","family":"Camerlo","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Regis","family":"Fara","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Louise","family":"Barbier","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emilie","family":"Gr\u00e9goire","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yves Patrice","family":"Le Treut","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2010,10,13]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1002%2Fhep.1840170510"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1016%2FS0016-5107%2899%2970011-8"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1097%2FSLA.0b013e318070cada"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1007%2FBF01535956"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1046%2Fj.1365-2168.1998.00591.x"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1055%2Fs-2003-38779"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1136%2Fgut.33.2.272"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1080%2F028418500127345992"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1136%2Fgut.2006.103606"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1016%2FS0016-5107%2899%2980013-3"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1053%2Fjhep.2003.50232"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1002%2Fbjs.18004821104"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1097%2F01.TP.0000101795.29250.10"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1111%2Fj.1440-1746.2004.03528.x"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1055%2Fs-2007-1009120"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1016%2FS0016-5107%2898%2970305-0"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1016%2FS0016-5107%2895%2970080-3"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1259%2F0007-1285-51-612-953"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1067%2FS0016-5107%2803%2901975-8"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1016%2FS0168-8278%2897%2980484-9"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1016%2FS1590-8658%2802%2980093-7"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1016%2FS0016-5107%2896%2970327-9"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1016%2F0168-8278%2895%2980075-1"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.1007%2FBF00311715"}],"container-title":["Digestive Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/314610","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/314610","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T19:22:24Z","timestamp":1745436144000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000314610"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010]]},"references-count":24,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2010,11,1]]},"published-print":{"date-parts":[[2010,11,24]]}},"URL":"https:\/\/doi.org\/10.1159\/000314610","archive":["Portico"],"relation":{},"ISSN":["0253-4886","1421-9883"],"issn-type":[{"type":"print","value":"0253-4886"},{"type":"electronic","value":"1421-9883"}],"subject":[],"published":{"date-parts":[[2010]]}}}