Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Diagnostic laparoscopy in prolonged jaundice
Autore:
Senyuz, OF; Yesildag, E; Emir, H; Tekant, G; Bozkurt, P; Sarimurat, N; Soylet, Y;
Indirizzi:
Istanbul Univ, Cerrahpasa Med Fac, Dept Pediat Surg, Istanbul, Turkey Istanbul Univ Istanbul Turkey d Fac, Dept Pediat Surg, Istanbul, Turkey Istanbul Univ, Cerrahpasa Med Fac, Dept Anesthesiol, Istanbul, Turkey Istanbul Univ Istanbul Turkey d Fac, Dept Anesthesiol, Istanbul, Turkey
Titolo Testata:
JOURNAL OF PEDIATRIC SURGERY
fascicolo: 3, volume: 36, anno: 2001,
pagine: 463 - 465
SICI:
0022-3468(200103)36:3<463:DLIPJ>2.0.ZU;2-4
Fonte:
ISI
Lingua:
ENG
Soggetto:
BILIARY ATRESIA; NEONATAL CHOLESTASIS;
Keywords:
neonatal cholestasis; extrahepatic biliary atresia; neonatal hepatitis; laparoscopy;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
15
Recensione:
Indirizzi per estratti:
Indirizzo: Senyuz, OF Bakar Sokak 2 C-9, TR-34740 Istanbul, Turkey Bakar Sokak 2 C-9Istanbul Turkey TR-34740 0 Istanbul, Turkey
Citazione:
O.F. Senyuz et al., "Diagnostic laparoscopy in prolonged jaundice", J PED SURG, 36(3), 2001, pp. 463-465

Abstract

Background: The early diagnosis of surgical jaundice in a neonate is an important step for the surgical success in extrahepatic biliary atresia. Diagnostic laparoscopy, as in many areas in surgery, is included in the conventional diagnostic methods of extrahepatic biliary atresia. Methods: Since 1992, 24 infants with prolonged jaundice, in whom extrahepatic biliary atresia and neonatal hepatitis could not be differentiated withconventional diagnostic interventions, have been evaluated laparoscopically. Results: A coarse, irregular, greenish-brown liver with some degree of fine angiomatous development and an atretic gallbladder are the findings of laparoscopic evaluation in an infant with extrahepatic biliary atresia. However, in neonatal hepatitis, the liver is smooth, sharp-edged, and chocolate brown in color, and simultaneously performed cholangiography should show the passage of the contrast material both into the proximal biliary tracts and the intestinal system. In this series, 10 of 24 cases were proved to be neonatal hepatitis diagnosed by laparoscopy, so unnecessary laparotomy was avoided in 42% of the cases. Conclusion: When the diagnostic laparoscopy, in which the liver and the gal[bladder are directly visualized, is combined with the cholangiographic examination, the most accurate and earlier diagnosis in an infant with prolonged jaundice can be achieved, and the important period of time for the surgical success in extrahepatic biliary atresia will be minimally wasted. J Pediatr Surg 36:463-465. Copyright (C) 2001 by W.B. Saunders Company.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 25/09/20 alle ore 13:39:06