| The clinical significance of intrahepatic cystic lesions in postoperative patients with biliary atresia. | |
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MedLine Citation:
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PMID: 22885778 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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PURPOSE: To clarify the significance of intrahepatic cystic lesions (ICLs) after Kasai procedure for biliary atresia (BA), we reviewed the BA patients with special reference to the shape of ICLs. METHODS: For the last two decades, 75 cases have been followed up at our institution. The patients were divided into two groups: ICLs (+) with ICL and ICLs (-) without ICL. Seventeen cases of ICLs (+) were divided into two categories: the round type and the multiple-bead type. A poor prognosis was defined as mortality or the need for liver transplantation (LT). RESULTS: The ratio of round to multiple-bead types was 6:11. The percentage of poor prognoses with ICLs (+) and ICLs (-) was 47 and 53 %, respectively. The percentage of poor prognoses with round and multiple-bead types was 27 and 83 %, respectively (p < 0.05). In cases of ICLs (+), an LT was required because of hepatic deterioration in all three of the round types, and intractable cholangitis in all five of the multiple-bead types (p < 0.05). CONCLUSION: The long-term prognosis of BAs after the Kasai procedure does not necessarily depend on the development of ICLs per se, but on their shape. |
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Authors:
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Taro Goda; Akio Kubota; Hisayoshi Kawahara; Akihiro Yoneda; Yuko Tazuke; Gakuto Tani; Kengo Nakahata |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2012-8-12 |
Journal Detail:
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Title: Pediatric surgery international Volume: - ISSN: 1437-9813 ISO Abbreviation: Pediatr. Surg. Int. Publication Date: 2012 Aug |
Date Detail:
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Created Date: 2012-8-13 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8609169 Medline TA: Pediatr Surg Int Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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Department of Pediatric Surgery, Osaka Medical Center and Research Institute for Maternal and Child Health, 840 Murodo-cho, Izumi, Osaka, 594-1101, Japan, tgoda@mch.pref.osaka.jp. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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