Figure 2.

Algorithm for the management of a patient with portal cavernoma cholangiopathy. EHPVO, extrahepatic portal venous obstruction; CBD, common bile duct; LFT, liver function tests; MR, magnetic resonance; PCC, portal cavernoma cholangiopathy; *EUS with Doppler for evaluation of biliary obstruction when other imaging modalities are unrevealing; †endoscopic treatment includes endoscopic sphincterotomy, stone extraction with or without the help of mechanical lithotripsy, plastic biliary stent placement, etc; ‡endoscopic treatment includes endoscopic sphincterotomy and stricture dilatation, followed by stone extraction with or without the help of mechanical lithotripsy. P1, phase 1; P2, phase 2 and P3, phase 3. (Modified from Dhiman RK, et al. Gut 2007;56:1001–8).²⁰