胆道閉鎖症術後の外瘻閉鎖時期に関する検討

概要

論文の詳細を見る
To make a guidance for closure of fistula after definitive surgery with external biliary fistula for biliary atresia, 84 cases were analysed retrospectively. The rate of postoperative complications was high in patients who had the fistula closed within one and half a year after surgery. The following results were obtained from this study. 1) Optimal time for closure of the external fistula in from 2 to two and half a year after definitive surgery. 2) The history of postoperative complications, especially chronological changes of bile flow and the history of discharge of foods from external fistula, should be checked carefully. Closure of the fistula should be scheduled at more than 1 year after the episode of the postoperative complication. Lysis of the adhesion should be considered if the patient had a history of the food excretion from the external fistula. 3) In patients with jaundice, surgery for closure of the external fistula should be limited to patients with stable liver function, and the operation should be performed at more than 3 years after definitive surgery.
日本小児外科学会の論文
1991-04-20