Postoperative ascending cholangitis following portoenterostomy for biliary atresia: Measures for control

1978 ◽  
Vol 2 (5) ◽  
pp. 581-585 ◽  
Author(s):  
John R. Lilly ◽  
David C. Hitch
Keyword(s):  
Biliary Atresia ◽  
Ascending Cholangitis

Role of Hepatic Portocholecystostomy (‘Gallbladder Kasai’) in Treating Infants with Biliary Atresia

2010 ◽  
Vol 76 (8) ◽  
pp. 883-887 ◽  
Author(s):  
Kevin N. Johnson ◽  
Curt S. Koontz ◽  
Richard R. Ricketts
Keyword(s):  
Biliary Atresia ◽  
Total Bilirubin ◽  
International Normalized Ratio ◽  
First Year ◽  
Laboratory Values ◽  
Significant Difference ◽  
Ascending Cholangitis ◽  
Long Term Follow Up ◽  
Hepatic Portoenterostomy

The aim of this study is to compare liver function and cholangitis episodes during the first year postoperatively between patients who undergo hepatic portocholecystostomy (HPC) and patients who undergo hepatic portoenterostomy (HPE). Records of six patients who underwent HPC for biliary atresia (BA) and 27 patients who underwent HPE for BA were reviewed retrospectively Comparison was done of the patient's total bilirubin, albumin, and international normalized ratio values preoperatively and at 3 months, 6 months, and 1 year postoperatively. Comparison was also done of the occurrence of ascending cholangitis during the first year postoperatively and in rates of transplant and mortality during long-term follow-up. Preoperative laboratory values between the two groups were not significantly different. At 6 months, the patients who underwent HPC had significantly lower total bilirubin levels compared with those who underwent HPE (HPC 0.8 ± 0.96, n = 4; HPE 4.93 ± 7.73, n = 21; P < 0.05). No other laboratory values or rates of ascending cholangitis, transplant, or mortality showed a significant difference. Those patients who underwent HPC had significantly lower total bilirubin levels at 6 months postoperatively. This may suggest that HPC may be a superior operative technique for patients who are candidates for the operation.

scholarly journals Ascending cholangitis after successful surgical repair of biliary atresia

1973 ◽  
Vol 48 (9) ◽  
pp. 697-703 ◽  
Author(s):  
A. Kobayashi ◽  
T. Utsunomiya ◽  
Y. Ohbe ◽  
K. Shimizu
Keyword(s):  
Biliary Atresia ◽  
Surgical Repair ◽  
Ascending Cholangitis

scholarly journals CLINICAL STUDY OF ASCENDING CHOLANGITIS FOLLOWING PORTOJEJUNOSTOMY FOR BILIARY ATRESIA

1994 ◽  
Vol 44 (3) ◽  
pp. 269-276
Author(s):  
ATSUSHI TAKAHASHI ◽  
SHIRO MATSUYAMA ◽  
NORIO SUZUKI ◽  
MINORU KUROIWA ◽  
HITOSHI IKEDA
Keyword(s):  
Clinical Study ◽  
Biliary Atresia ◽  
Ascending Cholangitis

Further experience with the antireflux valve to prevent ascending cholangitis in biliary atresia

1997 ◽  
Vol 32 (10) ◽  
pp. 1450-1452 ◽  
Author(s):  
Toshiro Honna ◽  
Yoshiaki Tsuchida ◽  
Hideo Kawarasaki ◽  
Tadahito Utsuki ◽  
Kouichi Mizuta
Keyword(s):  
Biliary Atresia ◽  
Ascending Cholangitis ◽  
Antireflux Valve
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