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BILIARY ATRESIA
Continued....
What
happens before the operation?
When any operation is required some preparation is necessary. Blood tests will be done so that your babys blood group can be identified in case there is a need to give blood to your baby before, during or after surgery. Your baby may require special medicines to prepare the gut for surgery.
Your baby may also require some feeds to be replaced by special non-milk feeds and/or some fluids to be given into the vein by means of drip. The nurses on the ward will tell you what you should give and when.
What happens during the operation?
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.

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.
Related Topics
When any operation is required some preparation is necessary. Blood tests will be done so that your babys blood group can be identified in case there is a need to give blood to your baby before, during or after surgery. Your baby may require special medicines to prepare the gut for surgery.
Your baby may also require some feeds to be replaced by special non-milk feeds and/or some fluids to be given into the vein by means of drip. The nurses on the ward will tell you what you should give and when.
What happens during the operation?
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.
The
surgeon finds no patent (open) ducts outside the liver.

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