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| Year : 1999 | Volume
: 4
| Issue : 2 | Page : 90-96 |
Biliary atresia : ICH experience.
P Gupta, UK Roy
The Institute of Child Health, Calcutta, India
Correspondence Address:
P Gupta
The Institute of Child Health, Calcutta
India
 Source of Support: None, Conflict of Interest: None  | Check |
ABSTRACT: Study to analyse our experience with surgical management of biliary atresia at the Institute of Child Health (ICH), Calcutta, India. Design: Retrospective study. Setting: Hospital based. Methods: Over the last 4,5 years, 17 cases of neonatal conjugated hyperbilirubinemia diagnosed as biliary atresia were treated. Their clinical presentation, diagnosis, peroperative cholangiograms, and treatment outcome were analyzed. Preoperative workup included biochemical studies. TORCH screening, 99 m Tc Hepatobiliary scan and duodenal intubation (5 cases). Peroperative cholangiogram could be done in 8 cases. There was one case of neonatal hepatitis, and in one case, there was total aplasia of the radicles at the porta. Drainage Procedure-portoenterostomy was done in 12 cases, and in 3 cases the common hepatic duct was anastomosed with the duodenum. Results: Mean age of the study group was 2.3 months with a male : female ratio of 1.42:1.0. Followup period ranges from 4 months to 4.2 years. Two patients died within 10 days of operation and one after 3 months leading to a mortality rate of 17.6 percent . Conclusions: Immediate results in surgically treated biliary atresia is fairly satisfactory.
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