Medical management of the 'failing' Kasai portoenterostomy
نویسندگان
چکیده
منابع مشابه
Maximizing Kasai portoenterostomy in the treatment of biliary atresia: medical and surgical options.
Biliary atresia (BA) remains one of the most challenging conditions in paediatric surgery. It has several possible causes, resulting in a range of different clinical scenarios. The current therapeutic approach is almost entirely surgical with an initial attempt to restore bile flow and preserve the native liver using a Kasai-type portoenterostomy. Liver transplantation (cadaveric or living dono...
متن کاملThe 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" ...
متن کاملA New Era of Laparoscopic Revision of Kasai Portoenterostomy for the Treatment of Biliary Atresia
PURPOSE Kasai portoenterostomy is the standard therapy for biliary atresia (BA). If Kasai is unsuccessful, there is controversy over whether revision of Kasai restores adequate biliary drainage. Although there are several reports of laparoscopic Kasai (Lap-Kasai), none has described laparoscopic revision (Lap-revision). The purposes of this study were to evaluate the feasibility and efficacy of...
متن کاملReview of redo-Kasai portoenterostomy for biliary atresia in the transition to the liver transplantation era
Portoenterostomy (PE) is the standard therapy for biliary atresia (BA). PE offers the chance of survival to children with BA. PE was the ultimate therapeutic modality for BA before liver transplantation (LT) was available. Failure of biliary drainage with PE was almost invariably fatal in children with BA. In such cases, redo-PE was performed to salvage patients following PE failure. PE remains...
متن کاملLate 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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ژورنال
عنوان ژورنال: South African Medical Journal
سال: 2012
ISSN: 2078-5135
DOI: 10.7196/samj.6129