Remote results of treatment of biliary atresia in children [Отдаленные результаты лечения детей с билиарной атрезией]
Разумовскиy А. Y., Дегтярева А. В., Куликова Н. В., Рачков В. Е., Ратников С. А., Филиппова Е. А., Пучкова А. А., Албегова М. Б.
Российский вестник перинатологии и педиатрии
Т. 64, Вып. 1, С. 46-55
Опубликовано: 2019
Тип ресурса: Статья
DOI:10.21508/1027-4065-2019-64-1-46-55
Аннотация:
The objective. To analyze early and long-term results of surgical treatment of biliary atresia in children. 120 patients with biliary atresia underwent Kasai procedure from 2000 to 2018. The follow-up course varied from 6 months to 15 years. The authors assessed the survival rate of children with native liver and the survival rate without indications for liver transplantation in different age periods, as well as the frequency of surgical complications, bacterial cholangitis, portal hypertension, etc. The results. The survival rate of children with native liver within 1 year was 82.7[%]; within 2 years – 57.72[%]; 3 years – 49.6[%]; 5 years – 42.1[%]; over 10 years – 33.25[%]. In case of effective surgery the authors noted the restoration of stool color, jaundice relief and gradual normalization of bilirubin level during the 1st year. The activity of gamma-glutamyl transferase and transaminases in most children increased in the early postoperative period and, then, gradually decreased. The most f
Ключевые слова:
Acholic stool; Biliary atresia; Catamnesis; Children; Cholangitis; Cholestasis; Jaundice; Kasai procedure; Laparoscopy; Laparotomy; Mini access; Portal hypertension; Survival
Язык текста: Русский
ISSN: 2500-2228
Разумовскиy А. Y. А.Ю.
Дегтярева А. В. Анна Владимировна 1971-
Куликова Н. В.
Рачков В. Е.
Ратников С. А.
Филиппова Е. А.
Пучкова А. А.
Албегова М. Б.
Razumovskiy A. Y. A.Yu.
Degtyareva A. V. Anna Vladimirovna 1971-
Kulikova N. V.
Rachkov V. E.
Ratnikov S. A.
Filippova E. A.
Puchkova A. A.
Albegova M. B.
Remote results of treatment of biliary atresia in children [Отдаленные результаты лечения детей с билиарной атрезией]
Текст визуальный непосредственный
Российский вестник перинатологии и педиатрии
Национальная педиатрическая академия науки и инноваций
Т. 64, Вып. 1 С. 46-55
2019
Статья
Acholic stool Biliary atresia Catamnesis Children Cholangitis Cholestasis Jaundice Kasai procedure Laparoscopy Laparotomy Mini access Portal hypertension Survival
The objective. To analyze early and long-term results of surgical treatment of biliary atresia in children. 120 patients with biliary atresia underwent Kasai procedure from 2000 to 2018. The follow-up course varied from 6 months to 15 years. The authors assessed the survival rate of children with native liver and the survival rate without indications for liver transplantation in different age periods, as well as the frequency of surgical complications, bacterial cholangitis, portal hypertension, etc. The results. The survival rate of children with native liver within 1 year was 82.7[%]; within 2 years – 57.72[%]; 3 years – 49.6[%]; 5 years – 42.1[%]; over 10 years – 33.25[%]. In case of effective surgery the authors noted the restoration of stool color, jaundice relief and gradual normalization of bilirubin level during the 1st year. The activity of gamma-glutamyl transferase and transaminases in most children increased in the early postoperative period and, then, gradually decreased. The most f