胆道閉鎖症術後肝内胆管 : 腸瘻胆管造影と組織学的所見

概要

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Cholangiography through the enterostomy was performed on 15 patients and 2 autopsy cases who have undergone Suruga II method for uncorrectable type of biliary atresia. The age at the time of the examination ranged from 5 months to 15 years. Radiologic findings of intrahepatic bile ducts were classified into three types. The first group showed main intrahepatic bile ducts of nearly normal shape although some hypoplastic findings were seen (9 cases). This group showed enough bile flow and good postoperative recovery. The second group showed fine numerous bile ducts radiating from the porta hepatis (6 cases). Some of this group showed uneventful postoperative course but there are a few cases with decreased bile flow and persistent jaundice. The third group showed no visible bile ducts connected to the porta hepatis. In this group, bile flow was insufficient and jaundice persisted. The radiologic classification of intrahepatic bile ducts correlated well to the postoperative course of biliary atresia. The changes of intrahepatic bile ducts of the radiating group were suspected to be related to the hypoplastic abnormality of biliary atresia.
日本小児外科学会の論文
1984-04-20