4th Pediatric Infectious Diseases Conference
 
 
Home  Back   ISSN 0973 - 0958
 
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Specialist Answers
Question
Respected sir/ Madam, recently we came across a case of intrahepatic biliary atresia with marked fibrosis and hepatic dysfunction in a two month old child. A Kasai operation is being planned for him. I want to know what is the treatment of choice in this case. Because according to the literature he has a very bad prognosis and liver transplant is the only answer in this case. Please clear my doubt in the above case. Thanking you Dr.Sangeeta.
Answer
The treatment of choice would be Kasai operation. Depending on the success or failure of Kasai's operation, liver transplant may be required. If the cholestasis comes under control with the Kasai and the child's nutrition and growth can be taken care of, one can defer the liver transplant till it becomes essential. If however, the Kasai's fails then liver transplant may be required urgently.
 
 
 
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
Educational Section
 
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