Ramírez-Hernández I, Jiménez-Urueta PS, Sánchez-Michaca VJ, Tomita-Arcos VH, Castañeda-Ortiz RA

Language: Spanish
References: 10
Page: 201-205
PDF size: 1501.10 Kb.

ABSTRACT

Introduction: The procedure of Kasai (portoenterostomy) is the treatment available for patients with atresia of biliary ways with optimum age of 2 months. Children who are not treated develop fatal complications. With this procedure the biliary flow is restored and hepatic damage is reduced.
Material and Methods: In the Centro Médico Nacional “20 de Noviembre “ ISSSTE , México, we did a retrospective study of patients with biliary atresia; we evaluated biochemical and clinical parameters, preoperative and post-operative tests, especially hepatic function, restablishment of biliary flow, postsurgical colangitis, complications, age at the time of surgery and the indication for hepatic transplant.
Results: We reviewed 15 files; one patient was lost to follow-up; 2 patients were treated in another facility; 4 patients died. Eight patients underwent the Kasai procedure with excellent results; their follow-up ranged from 5 months to 20 years.
Discussion. The Kasai procedure is successful when it is done early. Favorable results depend on: 1) early diagnosis that allows to operate patients around 2 months of age; 2) treatment of patients in specialized facilities; 3) low incidence of colangitis and 4) early restablishment of post-operative biliary flow.

REFERENCES

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