Portal Hypertention after Correction of Extrahepatic Biliary Atresia (第15回日本小児外科学会,第11回大平洋小児外科学会合同シンポジウム)

概要

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Since 1959, when Kasai and Suzuki (1) devised hepatic portoenterostomy to correct extrahepatic biliary atresia, evidence of restoration of bile flow had been obtained in approximately 40 to 60% of patients operated on before 4 months of age. Among the postoperative complications observed in these patients, portal hypertension becomes a frequent finding in all series with a long follow-up. Its development has been related to an ongoing biliary cirrhosis and frequent attacks of postoperative cholangitis. We have recently reviewed this problem in a series of 34 patients who displayed some degree of restoration of bile flow for at least one year after surgery.
特定非営利活動法人日本小児外科学会の論文