UpToDate Contents

全文を閲覧するには購読必要です。 To read the full text you will need to subscribe.

English Journal

Postoperative morphine concentration in infants with or without biliary atresia and its association with hepatic blood flow.

Wang X1, Qiao ZW, Zhou ZJ, Zhuang PJ, Zheng S.
Anaesthesia.Anaesthesia.2014 Jun;69(6):583-90. doi: 10.1111/anae.12624. Epub 2014 Apr 18.
We measured pre-operative hepatic blood flow and postoperative morphine concentration in infants with or without biliary atresia. Thirty-four infants (0-3 months) with biliary atresia undergoing portoenterostomy (Kasai operation) were included and hepatic blood flow was assessed by magnetic resonan
PMID 24749886

From laparoscopic to open Kasai portoenterostomy: the outcome after reintroduction of open Kasai portoenterostomy in infant with biliary atresia.

Chan KW1, Lee KH, Wong HY, Tsui SY, Wong YS, Pang KY, Mou JW, Tam YH.
Pediatric surgery international.Pediatr Surg Int.2014 Jun;30(6):605-8. doi: 10.1007/s00383-014-3499-5. Epub 2014 Apr 11.
PURPOSE: Apparently superior result was observed after open Kasai portoenterostomy in infant with biliary atresia. Our institute stopped performing laparoscopic portoenterostomy since 2007. We aimed to investigate the outcome after reintroduction of open portoenterostomy.METHODS: 27 non-syndromic in
PMID 24722760

Hepatocytes buried in the cirrhotic livers of patients with biliary atresia proliferate and function in the livers of uPA-NOG mice.

Suemizu H1, Nakamura K, Kawai K, Higuchi Y, Kasahara M, Fujimoto J, Tanoue A, Nakamura M.
Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society.Liver Transpl.2014 May 18. doi: 10.1002/lt.23916. [Epub ahead of print]
The pathogenesis of biliary atresia (BA), which leads to end-stage cirrhosis in most patients, has been thought to inflame and obstruct the intrahepatic and extrahepatic bile ducts. BA is not believed to be caused by abnormalities in parenchymal hepatocytes. However, there has been no report of a de
PMID 24838399

眞田幸弘,水田耕一,松本光司,浦橋泰然,江上聡,梅原実,脇屋太一,岡田憲樹,安田是和,河原崎秀雄
日本小児外科学会雑誌 46(7), 1171-1177, 2010-12-20
肝移植適応と判断された胆道閉鎖症(BA)乳児において,低体重の場合,肝移植後合併症のハイリスクであるため,成長を待って移植することが望ましいとされている.今回我々は急速に肝不全と門脈圧亢進症が進行したBA乳児に対して準緊急生体肝移植を施行したので報告する.11か月,女児,体重5.2kg.移植待機中にコントロール不良な感染症を合併し,急速に肝不全と門脈圧亢進症が進行した.また,肝腫大,脾腫大による腹 …
NAID 110007989315

眞田幸弘,水田耕一,浦橋泰然,江上聡,梅原実,脇屋太一,岡田憲樹,菱川修司,安田是和,河原崎秀雄
日本小児外科学会雑誌 46(7), 1164-1170, 2010-12-20
減黄した胆道閉鎖症において,門脈圧亢進症が肝移植の適応になることもあるが,葛西術後の術後管理法や肝移植の実施時期に関しては一定のコンセンサスは得られていない.今回,門脈圧亢進症を合併した胆道閉鎖症に対する肝移植の適応病態とその実施時期について考察した.14歳,胆道閉鎖症,女児.葛西手術後に減黄したが,年長児期に治療を要する門脈圧亢進症を合併した.内視鏡的静脈瘤結紮術や部分的脾動脈塞栓術が行われたが …
NAID 110007989314