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Alternative treatment for gallbladder stones in portal venous thrombosis

Sonia Penteado1, Marcel C Machado, José Eduardo M Cunha

  • 1Gastrointestinal Surgery, Division of Biliopancreatic Surgery, University of S. Paulo Medical School, S. Paulo, Brazil. viasbiliares.pancreas@hcnet.usp.br

Hepato-Gastroenterology
|October 24, 2003
PubMed

Insights

Cholecysto-jejunostomy offers a safe alternative for treating gallbladder stones in patients with portal vein thrombosis, avoiding hazardous dissection and complications.

Area of Science:

  • Gastroenterology and Hepatology
  • Surgical Innovation
  • Vascular Surgery

Background:

  • Gallbladder stone treatment via cholecystectomy is risky in patients with portal vein thrombosis due to potential bleeding from collateral vessels.
  • Dissection in these cases can lead to significant hemorrhage and coagulation issues.

Purpose of the Study:

  • To evaluate the safety and efficacy of cholecysto-jejunostomy as an alternative surgical approach.
  • To manage symptomatic gallbladder stones in patients with coexisting portal vein thrombosis.

Main Methods:

  • Cholecysto-jejunostomy was performed in three patients with symptomatic gallbladder stones and portal vein thrombosis.
  • This technique aimed to bypass the need for dissection in hazardous areas.

Main Results:

  • The surgical procedure was uneventful, with no requirement for blood or plasma transfusions.
  • Patients showed stable hematocrit and liver function tests, with no postoperative complications.
  • The procedure was well-tolerated, with discharge between days 5-7 and no biliary complications during 2-3 years of follow-up.

Conclusions:

  • Cholecysto-jejunostomy is a safe and effective treatment for symptomatic gallbladder stones in patients with portal vein thrombosis.
  • This method provides a viable alternative to conventional cholecystectomy in high-risk patients.
Abstract

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