scholarly journals Early diagnosis of primary nonfunction and indication for reoperation after liver transplantation

2010 ◽  
Vol 16 (2) ◽  
pp. 172-180 ◽  
Author(s):  
Johan Friso Lock ◽  
Eugen Schwabauer ◽  
Peter Martus ◽  
Nikolay Videv ◽  
Johann Pratschke ◽  
...  
2018 ◽  
Vol 1 (1) ◽  
pp. e000002
Author(s):  
Jianghua Zhan ◽  
Yajun Chen ◽  
Kenneth K Y Wong

BackgroundBiliary atresia (BA) is one of the most challenging hepatobiliary diseases in children. Notwithstanding the reasonable outcome of liver transplantation (LT), portoenteral anastomosis (Kasai operation) is still the first choice of treatment for patients with BA. How to improve the survival rate of the patients with BA in the era of LT is a new challenge.Data sourcesBased on recent original publications and the experience with the BA in China, we review many factors that influence BA survival situation, including early diagnosis and screen plan, defects of early treatment, Kasai operation, and LT and indicate present questions about BA diagnosis and treatment in China.ResultsBA diagnosis may also be delayed due to insufficient understanding of BA and lack of jaundice monitoring methods at different levels of the hospitals in China. Further education of the physicians at smaller city hospitals about BA, neonatal jaundice and cholestasis would be helpful in improving early diagnosis of BA. Early surgical intervention is still the only guarantee to improve the survival rate of BA with native liver.ConclusionsIn the era of LT, especially in China, Kasai operation can provide waiting time for living donor LT and improve the success rate of LT and minimize the rapid deterioration of liver function of the children with BA and decrease the mortality in patients with BA.


1997 ◽  
Vol 29 (1-2) ◽  
pp. 481-483 ◽  
Author(s):  
J.R. Nery ◽  
D. Weppler ◽  
L. Olson ◽  
G.P. Fragulidis ◽  
M.F. Khan ◽  
...  

Author(s):  
G. V. Volynets ◽  
A. V. Nikitin ◽  
T. A. Skvortsova ◽  
A. S. Potapov ◽  
A. K. Gevorkyan ◽  
...  

Early diagnosis of biliary atresia in children is important. Diagnosis of biliary atresia is necessary in the first 2-3 months of life, when there is occurred cirrhotic transformation of the liver tissue and there is an alternative for treatment tactics that is more appropriate than liver transplantation. In this case the diagnostic algorithm of diseases accompanied by cholestasis is rather complicated and based on data of clinical diagnostic tests. There are presented data of the retrospective analysis of the course of the disease in 20 children (14 boys and 6 girls) with biliary atresia and multifactorial statistical analysis of clinical-diagnostic indices of the onset of the disease on the basis of the algorithm for step-by-step diagnosis of biliary atresia in children of early age


Cytopathology ◽  
1998 ◽  
Vol 9 (6) ◽  
pp. 406-414 ◽  
Author(s):  
CARRASCO ◽  
SANCHEZ-BUENO ◽  
SOLA ◽  
ROBLES ◽  
RODRIGUEZ ◽  
...  

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