Enhancing Recovery After Kasai Portoenterostomy With Epidural Analgesia

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Late complications and current status of long-term survivals over 10 years after Kasai portoenterostomy

PURPOSE Whereas the Kasai portoenterostomy (KPE) is an accepted first line of surgery for bile drainage in infants with biliary atresia, its long-term effectiveness is not clear because its etiology and pathogenesis remains unknown. This study was aimed to investigate the late complications occurring in long-term survivors and the current status of living patients who survived over 10 years aft...

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The Kasai portoenterostomy: when is it too late?

BACKGROUND/PURPOSE Kasai portoenterostomy is recommended as the primary initial therapy for extrahepatic biliary atresia if the procedure can be performed within 10 to 12 weeks of life. The optimal management for infants with delayed presentation of biliary atresia remains controversial. The purpose of this study was to determine the success rate and outcome for patients who underwent a "late" ...

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To the Editor:—In a recent letter, Erickson and Lanier reported on a useful method to preoxygenate claustrophobic patients who will not tolerate a facemask, by having the patients hold the L-connector of the anesthesia circuit in their mouth. They may be interested to know that an identical method, complete with an almost identical photograph, was published as a correspondence by Keifer and Sti...

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BACKGROUND AND OBJECTIVES Epidural analgesia is often used to control postoperative pain or to manage chronic pain in oncologic patients. However, it is not free from complications. This case reports a young healthy female patient submitted to epidural analgesia in patient-controlled infusion pump, which developed epidural abscess requiring surgical decompression. CASE REPORT Female patient, ...

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ژورنال

عنوان ژورنال: Journal of Surgical Research

سال: 2019

ISSN: 0022-4804

DOI: 10.1016/j.jss.2019.05.059