Late complications and current status of long-term survivals over 10 years after Kasai portoenterostomy / 대한외과학회지
Journal of the Korean Surgical Society
;
: 271-275, 2011.
Artigo
em Inglês
| WPRIM
| ID: wpr-76446
ABSTRACT
PURPOSE:
Whereas the Kasai portoenterostomy (KPE) is an accepted first line of surgery for bile drainage in infants with biliary atresia, its long-term effectiveness is not clear because its etiology and pathogenesis remains unknown. This study was aimed to investigate the late complications occurring in long-term survivors and the current status of living patients who survived over 10 years after KPE.METHODS:
A retrospective analysis of the medical records of 32 patients who underwent KPE from 1990 to 2000 was done. We analyzed 10-year survival rates with the Kaplan-Meier method and the current status of the long-term survivors.RESULTS:
The overall 10-year survival rate by Kaplan-Meier method after KPE was 76.2%. Eight (25%) patients had died, including 4 who were transplanted. Nineteen (59.4%) patients survived over 10 years. Among them, 6 (31.6%) patients had portal hypertension, and 5 (26.3%) had episodes of cholangitis. Two had intrahepatic cyst and 2 had intestinal obstruction. Six (31.6%) patients have been well without any complications.CONCLUSION:
The long-term survival rate of biliary atresia is slightly improving. However, two thirds of patients suffer from various complications. One-third of survivors go on without any complication. As biliary atresia is known as a progressive inflammatory disease, careful life-long follow- up is needed in long-term survivals after KPE.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Bile
/
Atresia Biliar
/
Portoenterostomia Hepática
/
Drenagem
/
Colangite
/
Prontuários Médicos
/
Taxa de Sobrevida
/
Estudos Retrospectivos
/
Sobreviventes
/
Transplantes
Tipo de estudo:
Estudo observacional
Limite:
Humanos
/
Lactente
Idioma:
Inglês
Revista:
Journal of the Korean Surgical Society
Ano de publicação:
2011
Tipo de documento:
Artigo
Similares
MEDLINE
...
LILACS
LIS