EFFECTIVENESS OF AN INTUSSUSCEPTIVE ANTIREFLUX VALVE TO PREVENT ASCENDING CHOLANGITIS AFTER HEPATIC PORTOJEJUNOSTOMY IN BILIARY ATRESIA

被引：26

作者：

SAEKI, M ^{[1
]}

NAKANO, M ^{[1
]}

HAGANE, K ^{[1
]}

SHIMIZU, K ^{[1
]}

机构：

[1] NATL CHILDRENS HOSP,DEPT PATHOL,SETAGAYA KU,TOKYO 154,JAPAN

来源：

JOURNAL OF PEDIATRIC SURGERY | 1991年 / 26卷 / 07期

关键词：

BILIARY ATRESIA; ANTIREFLUX VALVE;

D O I：

10.1016/0022-3468(91)90142-G

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

An intussusceptive antireflux valve was created in the Roux-en-Y loop at the same time as the hepatic portojejunostomy (Kasai procedure) for the purpose of preventing ascending cholangitis in 14 new cases of biliary atresia and in 6 long-term survivors of the Kasai operation after episodes of ascending cholangitis. Ascending cholangitis did not develop in any of the 13 new patients who showed bile outflow following a modified Kasai procedure with antireflux valve nor in 5 of 6 patients who had secondary valve implementation. Postmortem examination of a patient with a valve who died 2 years 3 months after surgery showed that the structure of the valve was intact and that the valve still was quite effective as an antireflux mechanism. © 1991.

引用

页码：800 / 803

页数：4