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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| classic KPE | Other | the classic management of biliary atresia as described |
|
| modified KPE | Other | we added 2 sutures posterior, one on each side and two anterior. this will hang the jejunal loop to promote tension free anastomosis |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| kasai portoenterostomy | Procedure | surgical creation of stoma between porta hepatis and jejunal loop |
|
| Measure | Description | Time Frame |
|---|---|---|
| the total number of cholangitis | the total attacks of chollangitis | two years |
| number of native liver survivors | the decrease of the need of liver transplantation in children with biliary atresia | two years |
| Measure | Description | Time Frame |
|---|---|---|
| early improvement of liver functions | normalization of liver function | 6 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Mohammad Khirallah | Contact | +201003546853 | mohamed.khirallah@med.tanta.edu.eg |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Tanta University | Completed | Tanta | Gharbia Governorate | 31111 | Egypt | |
| Tantra Universiy |
publication as article
6 months
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| ID | Term |
|---|---|
| D001656 | Biliary Atresia |
| D002761 | Cholangitis |
| ID | Term |
|---|---|
| D001649 | Bile Duct Diseases |
| D001660 | Biliary Tract Diseases |
| D004066 | Digestive System Diseases |
| D004065 | Digestive System Abnormalities |
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| ID | Term |
|---|---|
| D011171 | Portoenterostomy, Hepatic |
| ID | Term |
|---|---|
| D000714 | Anastomosis, Surgical |
| D013514 | Surgical Procedures, Operative |
| D001662 | Biliary Tract Surgical Procedures |
| D013505 | Digestive System Surgical Procedures |
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| Recruiting |
| Tanta |
| 31512 |
| Egypt |
|
| D000013 | Congenital Abnormalities |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |