Steroid use after the Kasai procedure for biliary atresia
نویسندگان
چکیده
منابع مشابه
Biliary Atresia: 50 Years after the First Kasai
Biliary atresia is a rare neonatal disease of unknown etiology, where obstruction of the biliary tree causes severe cholestasis, leading to biliary cirrhosis and death in the first years of life, if the condition is left untreated. Biliary atresia is the most frequent surgical cause of cholestatic jaundice in neonates and should be evoked whenever this clinical sign is associated with pale stoo...
متن کاملTwo Rare Cases of Hepatocellular Carcinoma after Kasai Procedure for Biliary Atresia: A Recommendation for Close Follow-Up
The instigation of the Kasai procedure in infants who are born with biliary atresia has led to increased survival in this population for over half a century. The many complications that arise as a result of biliary atresia led to an early death for most patients. However, the Kasai procedure is not without its own impediments. Among them is the development of hepatocellular carcinoma. We presen...
متن کاملA 25 years old women after Kasai operation for biliary atresia.
Manuscript received and accepted: 2 August and 15 September 2008 Biliary atresia is a rare disease characterized by a biliary obstruction of unknown origin that presents in the neonatal period. We present the magnetic resonance cholangiography (MRC) from a 25 years old women who was treated in the neonatal period with Kasai operation. The MRC reveals a choledochal cyst and shows multiple saccul...
متن کاملHigh-dose steroids, ursodeoxycholic acid, and chronic intravenous antibiotics improve bile flow after Kasai procedure in infants with biliary atresia.
BACKGROUND/PURPOSE Early reports suggest that the use of steroids after Kasai portoenterostomy may improve bile flow and outcome in infants with biliary atresia. METHODS Of 28 infants with biliary atresia, half received adjuvant high-dose steroids, and half received standard therapy. Infants in the steroid group (n = 14) received intravenous solumedrol (taper of 10, 8, 6, 5, 4, 3, 2 mg/kg/d),...
متن کاملInguinal Hernias Represent the Most Frequent Surgical Complication after Kasai in Biliary Atresia Infants
Biliary atresia (BA) is an orphan medical condition of the newborn, resulting in end-stage liver cirrhosis due to obliterative cholangiopathy of the extrahepatic bile duct. Although Kasai's hepatoportoenterostomy (KPE) is the well-established first-line therapy, little is known about its surgical complications. 153 patients receiving open KPE treated at a single center between 1994 and 2014 wer...
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ژورنال
عنوان ژورنال: The American Journal of Surgery
سال: 2010
ISSN: 0002-9610
DOI: 10.1016/j.amjsurg.2010.01.014