Health Worlds

Condition analysis:
Symptoms of biliary atresia, biliary atresia treated to grasp how much!
Suggestion:
Hello, symptoms of biliary atresia: progressive jaundice, scleral jaundice is the earliest sign. Jaundice can occur soon after birth or within 1 month, there are physiologic jaundice in 1 to 2 weeks later, this should gradually subside , but was progressively increased. With the increase of jaundice, pale yellow stool from the normal white pottery earth tones as well. Sometimes they turn yellow from the white pottery earth tones, this is due to high blood concentrations of bile pigment bilirubin penetration through the intestinal wall intestine, the stool color. dark urine, like a tea color.
Surgery is the only treatment for biliary atresia proposed by Kasai biliary atresia can be divided into "can match" or "rule type" of this type have relatively normal or expansion of the extrahepatic biliary tract by choledochojejunostomy effect of bile drainage can be restored Another type of good is "not consistent" or "non-rule-type" for this type of treatment of biliary atresia in two ways: hepatic portal enterostomy (Kasai procedure), or liver transplantation in Japan since 1959, Kasai biliary atresia on the first line Since the hepatic portal anastomosis after nearly 40 years of clinical practice that are part of the long-term survival of sick children to many of them near-normal quality of life of sick children reported in the literature of children sick child w


ith biliary atresia after hepatic portal anastomosis 40% to 50% of the long-term effective bile drainage good effect the remaining 50% to 60% of various late complications often appear to be in most of the line within 2 years of age with liver transplantation is currently the development of liver transplantation and cyclosporine immunosuppression rattan and other new ADM Application of biliary atresia drugs has become a major indication for pediatric liver transplantation.
As mentioned earlier the sick child with biliary atresia because of the development of cirrhosis can be more than 3 months after the diagnosis has been irreversible and should be completed within 60 days after the surgery, such as biliary atresia and liver syndrome in infants and can not identify 6 to 8 weeks of laparotomy preoperative exploration: immature neonatal liver function and absence of normal intestinal bacteria group intestinal synthesis of vitamin K deficiency bleeding prothrombin has a natural tendency of low preoperative vitamin K should be added, adding that if anemia, glucose and vitamins should BCD to lower blood serum proteins in plasma were given antibiotics before surgery and be prepared to intraoperative cholangiography
1.Kasai surgical methods This operation consists of two basic components: the anatomy of hepatic portal and hepatic portal enterostomy biliary reconstruction should be again after the first exploratory laparotomy or intraoperative cholangiography to confirm the diagnosis and then separated along the cystic duct gallbladder separation the residual hepatic duct and common bile duct of the fiber direction of the cable to the isolated hepatic cord fibers often extended into parts of the portal vein bifurcation of fiber clumps like a triangle in the hepatic portal area of liver quadrate lobe stretch up and pull down with a vein retractor vein bifurcation sliding door fully reveal the hilar part of biliary fibrous mass in the left and right hepatic portal vein bifurcation of careful dissection of hilar ligation of fibrous tissue 2 to 3 blocks from the portal vein into the fiber after the removal of the small veins of its fiber block thickness of the surface of the liver parenchyma may be seen gradually overrun the small yellow bile duct open decision hilar hepatic portal intestinal anastomosis surgery the main factor is whether such a residual hilar hilar hepatic duct, the scope and level of anatomical important direct impact on the discharge of hilar bile and cut off the outside of the left portal vein of portal venous ligament can be more conducive to free exposure and resection of hilar anatomy fiber block operation can be carried out with surgical magnifying glass fiber in order to more precisely cut blocks
Bile duct reconstruction using the jejunum more after a raise by the colon to the hepatic portal to complete the distance in general agreement about Qu's ligament cut at 15 ~ 20cm distal jejunum closed after bowel through the transverse mesocolon raised to hilar anastomosis to do the opposite in the intestinal mesentery 1 ~ 2cm long wall and the portal to adapt the length of fiber mass retained on the base provided then underwent intestinal loop of jejunum about 20cm - Y-jejunal anastomosis.


Friends Links:Automation Control Blog
Automation Products Order Numbers