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A study on cholangitis after hepatic portoenterostomy for biliary atresia
1Department of Pediatric Surgery, First Affiliated Hospital of Sun Yat-sen University Medical Sciences, Guangzhou, China.
Objective:
To investigate the clinical manifestations and factors relating to prognosis in biliary atresia (BA).
Methods:
Twenty-four cases were reviewed on clinical manifestations and bile flow after operation. All patients underwent hepatic portoenterostomy.
Results:
Twenty-three cases (95%) got bile flow postoperatively. Sixteen (69%) of 23 patients had 27 episodes of cholangitis. There were significant differences (P < 0.05) in the amount and bilirubin concentration of bile flow before and after cholangitis. Cholangitis also affected the life quality of BA patients.
Conclusion:
We consider that early finding and prevention of cholangitis can improve the prognosis of BA patients.