Abstract | BACKGROUND: STUDY DESIGN: Partial splenic embolization was performed in eight patients with biliary atresia and hypersplenism that developed following the Kasai procedure. Seven of them had experienced complete resolution of jaundice postoperatively, but became icteric thereafter. Jaundice remained unchanged in the initial postoperative period in the last patient but subsequently worsened. White blood cell, platelet, and red blood cell counts, hematocrit, and hemoglobin concentrations, and serum concentrations of glutamic-oxaloacetic transaminase, glutamate pyruvate transaminase, alkaline phosphatase, lactate dehydrogenase, albumin, and total bilirubin were evaluated one month before PSE and one, two, three, six, nine, 12, 18, and 24 months after PSE. RESULTS: The total bilirubin concentration decreased in all patients after PSE from 8.6 +/-3.6 mg/dL to 3.0 +/-1.0 mg/dL. This change was noted within three months of PSE, and correlated with an increase in the red blood cell count. CONCLUSIONS:
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Authors | H Ando, T Ito, M Nagaya |
Journal | Journal of the American College of Surgeons
(J Am Coll Surg)
Vol. 182
Issue 3
Pg. 206-10
(Mar 1996)
ISSN: 1072-7515 [Print] United States |
PMID | 8603238
(Publication Type: Journal Article)
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Chemical References |
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Topics |
- Adolescent
- Biliary Atresia
(complications, surgery)
- Bilirubin
(blood)
- Biomarkers
- Child
- Child, Preschool
- Embolization, Therapeutic
(methods, statistics & numerical data)
- Female
- Humans
- Hypersplenism
(blood, etiology, therapy)
- Male
- Palliative Care
- Postoperative Complications
(blood, etiology, therapy)
- Regression Analysis
- Splenic Artery
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