Laparoscopy in diagnosis of prolonged neonatal jaundice.
Indian Pediatr
;
2002 Dec; 39(12): 1138-42
Artigo
em Inglês
| IMSEAR
| ID: sea-12153
ABSTRACT
When managing neonatal jaundice, there is no single test or imaging modality that can reliably define biliary atresia and neonatal hepatitis. Early diagnosis is an important step for surgical success in extra hepatic biliary atresia. In many situations, exploratory laparotomy and operative cholangiography may be needed to settle the definitive diagnosis, with the risk of having negative exploration in those high risk patients with medical etiology. The use of laparoscopy may help in avoiding unnecessary exploration for such group of patients and arriving at a definite diagnosis. Six patients with conjugated hyperbilirubinemia were evaluated with a diagnostic laparoscopy, laparoscopic cholangiography and liver biopsy. Three of the six patients were diagnosed to have neonatal hepatitis and so an unnecessary laparotomy was avoided in these cases.
Texto completo:
DisponíveL
Índice:
IMSEAR (Sudeste Asiático)
Assunto principal:
Feminino
/
Humanos
/
Masculino
/
Colangiografia
/
Laparoscopia
/
Hiperbilirrubinemia
/
Lactente
/
Icterícia
Tipo de estudo:
Estudo de rastreamento
Idioma:
Inglês
Revista:
Indian Pediatr
Ano de publicação:
2002
Tipo de documento:
Artigo
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