4th Pediatric Infectious Diseases Conference
 
 
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Pedi Poll
Today's Poll
Should teicoplannin, colistin be used in case of neonatal sepsis where culture does not reveal any organism_?
No, it should be used only after drug sensitivity report
Yes, under guidance of an infectious disease expert
PATIENT INFORMATION ABOUT BILIARY ATRESIA
Biliary Atresia

Dr. Rajeev Redkar
MS, MCh (Peds), FRCS(Peds), FRCS(Ed), FRCS(G), FCPS, DNB, IAS
Consultant Pediatric Surgeon
Lilavati Hospital, Mumbai Shushrusha Hospital, Mumbai


Q: What happens during the operation?
A. The aim of the operation is to make a drainage channel to allow bile to drain from the liver. The exact way in which this is done will depend on the type of biliary atresia your baby has. During the operation the Surgeon will examine the liver, look for abnormalities and may take a liver biopsy (i.e. remove a tiny piece for further laboratory tests).

The operation usually takes usually takes a whole morning or afternoon. The surgeon takes as long as is needed to carry out what he / she needs to do.

There are 2 types of operations.

A. The surgeon finds no patent (open) ducts outside the liver

Diagram Showing no patent(open) ducts outside liver

This is the most common finding noted in 85% of cases of biliary atresia. The ducts are blocked (or missing altogether) right up to the liver surface. Under this circumstance, the blocked ducts are removed completely up to the liver surface. The surgeon cuts the bowel and also cuts into the under surface of the liver to find patent (open) bile ducts, i.e. microscopic bile ductules, which can drain bile effectively. The loop of bowel is then joined to this area of the liver.

Diagram Showing no patent(open) ducts outside liver

B. The surgeon finds patent bile ducts immediately below the liver containing bile

Diagram Showing patent bile ducts immediately below liver

In this type, the surgeon can join the loop of the bowel to the remaining bile ducts.

Diagram Showing patent bile ducts immediately below liver

The surgeon will perform the operation, which is best for your baby. Experience has shown no noticeable difference in long-term success rates between the two operations.

 
 
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