Document Detail

Percutaneous transhepatic cholangiodrainage after hepatic portoenterostomy for biliary atresia.
MedLine Citation:
PMID:  7463279     Owner:  NLM     Status:  MEDLINE    
During the past 12 mo, percutaneous transhepatic cholangiodrainage (PTCD) was carried out in 9 infants (12 procedures) who had undergone hepatic portoenterostomy (8) and hepatic portocholecystostomy (1) for biliary atresia. Bile excretion following surgery was observed in all infants. In all patients, cholangiogram at the initiation of PTCD was successful in visualizing the intrahepatic biliary system. PTCD was achieved in 5 infants (9 procedures). In infants with cholangitis, cultures of the intrahepatic bile were positive for enteric flora. Direct administration of antibiotics via the PTCD catheter into the bile ducts was transiently effective in the management of cholangitis. In one patient, it was observed that continuous PTCD over three weeks was effective in reducing serum bilirubin by relief of cholestasis. This technique is useful for: (1) demonstration of the reconstructed biliary system, (2) collection of bile from the intrahepatic biliary system for biochemical and bacteriologic studies, (3) direct administration of antibiotics to the bile ducts for cholangitis and (4) decompression of the intrahepatic system and relief of biliary stasis.
K Kimura; S Hashimoto; E Nishijima; T Muraji; C Tsugawa; Y Matsutmo
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of pediatric surgery     Volume:  15     ISSN:  0022-3468     ISO Abbreviation:  J. Pediatr. Surg.     Publication Date:  1980 Dec 
Date Detail:
Created Date:  1981-04-24     Completed Date:  1981-04-24     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0052631     Medline TA:  J Pediatr Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  811-6     Citation Subset:  IM    
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MeSH Terms
Bile Ducts / abnormalities*,  surgery
Drainage* / methods
Intestines / surgery*
Liver / surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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