LONG TERM FOLLOW-UP OF KASAI OPERATION FOR BILIARY ATRESIA: A SINGLE CENTER EXPERIENCE
作者： J KOURANLOU , MOHSEN ROUZROKH , AR Mirshemirani , J Ghoroubi
DOI:
关键词: Surgery 、 Radiological weapon 、 Jaundice 、 Complication 、 Biliary atresia 、 Liver transplantation 、 Single Center 、 Medical history 、 Pediatric surgery 、 Medicine
摘要: Children who are operated for biliary atresia by the Kasai procedure have approximately 30% chance of survival 5 years. In an attempt to define role this operation atresia, surgery records past 15 years were reviewed. The aim study was assess benefits achieved from in infants with atresia. This conducted department pediatric Taleghanei Medical Center 1986 2000. A total 36 cases, boys and 21 girls reviewed retrospectively. All operations performed uniformly three investigators. Data regarding patient history, clinical presentation, laboratory radiological features, operative finding, complication mortality collected retrospectively studied. these series cases classified as groups. Group A, represented successful category after (11 patients, 30.5%) characterized more than 3 no jaundice. B (2 5.5%) defined years, but jaundice, group C (23 patients 63.8%) less (this further divided subgroups). It seems that jaundice is main prognostic factor operation.
参考文章(14)
Frederick J. Rescorla, Jay L. Grosfeld, Karen W. West, Robert Predaina, Joseph F. Fitzgerald, Dennis W. Vane, The efficacy of hepatoportoenterostomy in biliary atresia Surgery. ,vol. 106, pp. 692- 701 ,(1989)
Toshiki Ohya, Takeshi Miyano, Koichiro Kimura, Indication for portoenterostomy based on 103 patients with Suruga II modification. Journal of Pediatric Surgery. ,vol. 25, pp. 801- 804 ,(1990) , 10.1016/S0022-3468(05)80025-9
Juan Vazquez-Estevez, Barbara Stewart, Robert H. Shikes, Roberta J. Hall, John R. Lilly, Biliary atresia: early determination of prognosis. Journal of Pediatric Surgery. ,vol. 24, pp. 48- 51 ,(1989) , 10.1016/S0022-3468(89)80300-8
Viraine S. Weerasooriya, Frances V. White, Ross W. Shepherd, Hepatic fibrosis and survival in biliary atresia The Journal of Pediatrics. ,vol. 144, pp. 123- 125 ,(2004) , 10.1016/J.JPEDS.2003.09.042
Ryoji Ohi, Shozo Mori, Nobuhiro Ohkohchi, Tsuneo Chiba, Long-term follow-up study of patients with cholangitis after successful Kasai operation in biliary atresia: selection of recipients for liver transplantation. Journal of Pediatric Gastroenterology and Nutrition. ,vol. 9, pp. 416- 420 ,(1989) , 10.1097/00005176-198911000-00003
Ryoji Ohi, Masaki Nio, Tsuneo Chiba, Naobumi Endo, Makoto Goto, Mohamed Ibrahim, Long-term follow-up after surgery for patients with biliary atresia. Journal of Pediatric Surgery. ,vol. 25, pp. 442- 445 ,(1990) , 10.1016/0022-3468(90)90390-U
R. Peter Altman, Kathryn D. Anderson, Surgical management of intractable cholangitis following successful Kasai procedure Journal of Pediatric Surgery. ,vol. 17, pp. 894- 900 ,(1982) , 10.1016/S0022-3468(82)80463-6
Akihiro Toyosaka, Eizo Okamoto, Tatsuo Okasora, Katsuyoshi Nose, Yoshifumi Tomimoto, Yasuji Seki, Extensive dissection at the porta hepatis for biliary atresia Journal of Pediatric Surgery. ,vol. 29, pp. 896- 899 ,(1994) , 10.1016/0022-3468(94)90011-6
Masao Endo, Keizo Katsumata, Jotaro Yokoyama, Yasuhide Morikawa, Hiromichi Ikawa, Shoichiro Kamagata, Miwako Nakano, Yuji Nirasawa, Shigeru Ueno, Extended dissection of the portahepatis and creation of an intussuscepted ileocolic conduit for biliary atresia. Journal of Pediatric Surgery. ,vol. 18, pp. 784- 793 ,(1983) , 10.1016/S0022-3468(83)80024-4
Morio Kasai, Izumi Mochizuki, Nobuhiro Ohkohchi, Tsuneo Chiba, Ryoji Ohi, Surgical limitation for biliary atresia: indication for liver transplantation Journal of Pediatric Surgery. ,vol. 24, pp. 851- 854 ,(1989) , 10.1016/S0022-3468(89)80580-9