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Long-term follow-up results of patients with biliary atresia

  • Pediatric Surgery—II
  • Published:
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Abstract

Two hundred patients with biliary atresia have undergone redical operation from 1953 through July, 1982. Sixtyseven patients are alive without juandice, whereas 12 patients are alive with jaundice. Of 79 living patients, 43 have survived more than 5 yr. All of them are leading a normal life for their age and residual hepatic dysfunctions are slight in degree. Follow-up studies of these longterm survivors revealed that late results of surgical treatments of biliary atresia were mainly influenced by the association of frequent cholangitis during the postoperative course.

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References

  1. Kasai M, Snzuki S: A New operation for “non-correctable”: biliary atresia-hepatic portoenterostomy. Shuzutsu, 13: 733, 1959

    Google Scholar 

  2. Kasai M, Kimura S, Asakura Y, Suzuki H, Taira Y, Ohashi E: Surgical treatment of biliary at resia. J Pediatr Surg, 3: 655, 1968

    Article  Google Scholar 

  3. Kasai M: Treatment of biliary atresia with special reference to hepatic portoenterostomy and its modifications, Prog Pediatr Surg, 6: 5, 1974

    PubMed  CAS  Google Scholar 

  4. Valayer J: Protal hypertension in biliary atresia, International Workshop on Biliary Atresia, New York, 1981.

  5. Howard ER: Surgery for biliary atresia: Personal experince with 88 case, International Workshop on Biliary Atresia, New York, 1982

  6. Altman R P: Long term results after Kasai Procedure, International Workshop on Biliary Atresia, New York, 1982

  7. Hitch D C, Shikes R H and Lilly J R: Determinations of survival after Kasai's operation for biliary atresia using acturial analysis. J Pediatr Surg 14: 310, 1979

    Article  PubMed  CAS  Google Scholar 

  8. Mustard R Jr. Shandling B, Gillam J: The Kasai's operation (Hepatic portoenterostomy for biliary atresia-experience with 20 cases. J Pediatr Surg 14: 511, 1979

    Article  PubMed  Google Scholar 

  9. Weber T R, Grosfeld J L, Fitzgerald J F: Prognostic determinations after hepatic portoenterostomy for biliary atresia. Am J Surg 141: 57, 1981

    Article  PubMed  CAS  Google Scholar 

  10. Kasai M et al.: Changes of portal vein pressure and intrahepatic blood vessels after surgery for biliary atresia. J Pediatr Surg 16: 152, 1981

    Article  PubMed  CAS  Google Scholar 

  11. Sawaguchi S, Akiyma Y, Saeki M, Otha Y: The treatment of congenital biliary atresia, with special reference to hepatic portoentero-anastomosis. Fifth Annual Meeting of the Pacific Association of Pediatric Surgeons, Tokyo, 1972

  12. Lilly J R, Altman R P: Hepatic portoenterostomy (the Kasai operation] for biliary atresia. Surgery 78: 655: 1972

    Google Scholar 

  13. Suruga K, Nagashima K, Kohno S, Miyano T, Kitahara T, Inui M: A clinical and pathological study of congenital biliary atresia. J Pediatr Surg 7: 655, 1972

    Article  PubMed  CAS  Google Scholar 

  14. Miyata M, Ueda T, Okmoto E: Longterm results of hepatic portoenterostomy for biliary atresia: special reference to postoperative portal hypertension. Surgery 76: 234, 1974

    PubMed  CAS  Google Scholar 

  15. Toyosaka A, Okamoto E et al.: Follow up studies of long-term survivors after hepatic portoenterostomy for biliary atresia. Jpn J Pediatr Surg 12: 1073, 1910

    Google Scholar 

  16. Hasegawa H and Thai Y: Reconstruction of bile duct by gastroepiploic rolled island flap. Plastic Surgery 19: 395, 1976

    Google Scholar 

  17. Chiba T, Takahashi H: Bile duct reconstruction with an intestinal valve to prevent postoperative ascending cholangitis. J Soc Pediatr Surg 10: 603, 1974

    Google Scholar 

  18. Tanaka E, et al: Jejunal interposition hepatic protoduodenostomy with intestinal valve for treatment of biliary atresia. J Pediatr Surg 13: 733, 1981

    Google Scholar 

  19. Ikeda K, Suita S: Hepatic portogastrostomy using a gastric tube for the treatment of congenital biliary atresia. Z Kinderchir, 17: 360, 1975

    Google Scholar 

  20. Yura J, et al: Treatment of congenital biliary atresia by hepatic portojejunostomy. Jpn J Pediatr Surg 10: 665, 1978

    Google Scholar 

  21. Saeki N, Akiyama H, et al: Portal hypertension after successful hepatic portoenterostomy for biliary atresia. Jpn J Pediatr Surg 12: 1059, 1980

    Google Scholar 

  22. Hays D M, Kimura K: Portal hypertension in biliary atresia The Japanese experience, Harvard University Press: Cambridge Massachusetts 1980 p 127.

    Google Scholar 

  23. Odievre M: Long term results of surgical treatment of biliary atresia. World J Surg 2: 589, 1978

    Article  PubMed  CAS  Google Scholar 

  24. Kasai M, Watanabe I, Ohi R: Follow-up studies of long-turm survivors after hapatic portoenterostomy for: “noncorrectable” biliary atresia. J Pediatr Surg, 10: 173 1975

    Article  PubMed  CAS  Google Scholar 

  25. Altman R P, Chandra R, Lilly J R: Ongoing cirrhosis after successful porticoen-terostomy in infants with biliary atresia. J Pediatr Surg 10: 685, 1975

    Article  PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. 2nd Department of Surgery, Tohoku University School of Medicine, Sendai, Japan

    M. Kasai M.D. & R. Ohi M.D.

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  1. M. Kasai M.D.
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  2. R. Ohi M.D.
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Kasai, M., Ohi, R. Long-term follow-up results of patients with biliary atresia. Indian J Pediatr 50, 209–217 (1983). https://doi.org/10.1007/BF02821444

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  • DOI: https://doi.org/10.1007/BF02821444

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