the study of the effect o the hanging of the jejunal loop to the peri KPE Glisson capsule on the rate of bile drainage and requirement of liver transplantation
To evaluate the effect of anchoring jejunal loop to Glisson capsule of liver after completion of modified Kasai portoenterostomy (KPE) on the frequency of attacks of cholangitis and the overall incidence of native liver survival. Methods: Retrospective study included 29 infants diagnosed as biliary atresia (BA). They were subjected to modified KPE. Two subgroups were present. Group A included 16 infants and had KPE. Group B included 13 infants and had the assumed modification. Wider dissection of fibrous portal plate was considered in both groups. After completion of KPE, the jejunal loop anchored to Glisson capsule of liver at porta hepatis in group B.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
26
surgical creation of stoma between porta hepatis and jejunal loop
Tanta University
Tanta, Gharbia Governorate, Egypt
COMPLETEDTantra Universiy
Tanta, Egypt
RECRUITINGthe total number of cholangitis
the total attacks of chollangitis
Time frame: two years
number of native liver survivors
the decrease of the need of liver transplantation in children with biliary atresia
Time frame: two years
early improvement of liver functions
normalization of liver function
Time frame: 6 months
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