Hepaticportoenterostomy as surgical therapy for biliary atresia

The Kasai I and Suruga I procedures are the most commonly reported surgical procedures used for the correction of biliary atresia. Clinical results are similar for these two procedures, but the Suruga I procedure is associated with a lower incidence of death due to ascending cholangitis. Postoperati...

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Bibliographic Details
Published in:	Surgery, gynecology & obstetrics Vol. 161; no. 6; p. 541
Main Authors:	Matory, Y L, Miyano, T, Suruga, K
Format:	Journal Article
Language:	English
Published:	United States 01-12-1985
Subjects:	Bile Ducts - abnormalities Bile Ducts, Intrahepatic - surgery Drainage Duodenum - surgery Gallbladder - surgery Humans Intestines - surgery Jejunum - surgery Methods
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Summary:	The Kasai I and Suruga I procedures are the most commonly reported surgical procedures used for the correction of biliary atresia. Clinical results are similar for these two procedures, but the Suruga I procedure is associated with a lower incidence of death due to ascending cholangitis. Postoperative care is an important consideration in choosing between these two procedures. The hepaticportocholecystostomy is associated with a decreased incidence of ascending cholangitis, however, it is only an option for a select group of patients. For all procedures mentioned, the level of transection of the bile duct remnant is crucial and pathologic confirmation of patency of the bile duct is helpful.
ISSN:	0039-6087