SHERP

Problems in Survivors of Biliary Atresia -5 or More Year After surgery-

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Authors
Kim, Woo-Ki; Park, Kwi-Won; Lee, Seong-Cheol; Jung, Seong Eun
Issue Date
1993-06
Publisher
Seoul National University College of Medicine
Citation
Seoul J Med 1993;34(2):127-130
Keywords
Biliary atresiaKasai operationHepatic-portoentcrostomvLong-term survivors in biliary atresia
Abstract
Hepatic porto-enterostomy or Kasai's original Roux-en Y portojejunostomy
was done on 56 patients during the 1980-1985 period. Seventeen
patients or 30 per cent had survived more than 5 years at the end of 1990, and
are presently being followed up. Average survival age is 7.5 years after surgery.
No survivor has clinical or laboratory jaundice. Esophageal varices were demonstrated
in 8 patients (47%), and 4 had bleeding episodes. Five patients or 29 per
cent had more than one episode of hospitalization for cholangitis. Growth was
above 75 per centile in height in 53 per cent. Nine patients(53%) have normal
liver function, showed neither varix and nor ascites. Good prognostic factors for
5 year survival were an operative age of 60 days or less, mild fibrosis of the liver,
and a big fibrotic mass at the porta hepatis at the time of surgery.
ISSN
0582-6802
Language
English
URI
http://hdl.handle.net/10371/5584
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Appears in Collections:
College of Medicine/School of Medicine (의과대학/대학원)Dept. of Medicine (의학과)The Seoul Journal of MedicineThe Seoul Journal of Medicine Vol. 34 No.2 (1993)
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