Abstract
Since the introduction of hepatic porto-enterostomy, encouraging results have been obtained in treating extrahepatic biliary atresia, particularly in the case of infants with atresia or agenesis of the extrahepatic ducts, who would not previously have been considered amenable to surgery.
Out of 17 successfully repaired cases who had shown good bile excretion after surgery and who had no jaundice, 8 (47%) developed ascending cholangitis 3½ to 8½ months after surgery.
Cholangitis of this type formed a recognizable picture, with repeated attacks of fever, reappearance of obstructive jaundice, raised erythrocyte sedimentation rate, leucocytosis with shift to the left, and anaemia. The condition was often resistant to antibiotic therapy, and was fatal in 3 cases.
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Selected References
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- GERRISH E. W., COLE J. W. Surgical jaundice in infants and children. AMA Arch Surg. 1951 Oct;63(4):529–535. doi: 10.1001/archsurg.1951.01250040539014. [DOI] [PubMed] [Google Scholar]
- Longmire W. P., Sanford M. C. Intrahepatic Cholangiojejunostomy for Biliary Obstruction-Further Studies: Report of Four Cases. Ann Surg. 1949 Sep;130(3):455–460. [PMC free article] [PubMed] [Google Scholar]
- MOORE T. C. Congenital atresia of the extrahepatic bile ducts; report of 31 proved cases. Surg Gynecol Obstet. 1953 Feb;96(2):215–225. [PubMed] [Google Scholar]
- Matzander U. Leberabscess und Cholangitis. Chirurg. 1972 Aug;43(8):364–368. [PubMed] [Google Scholar]
- REDO S. F. Congenital atresia of extrahepatic bile ducts. AMA Arch Surg. 1954 Dec;69(6):886–897. doi: 10.1001/archsurg.1954.01270060128017. [DOI] [PubMed] [Google Scholar]
- RICKHAM P. P., LEE E. Y. NEONATAL JAUNDICE: SURGICAL ASPECTS. Clin Pediatr (Phila) 1964 Apr;3:197–208. doi: 10.1177/000992286400300403. [DOI] [PubMed] [Google Scholar]
- SCHNUG G. E. Importance of early operation in congenital atresia of the extrahepatic bile ducts; report of ten proved cases. Ann Surg. 1958 Dec;148(6):931–936. doi: 10.1097/00000658-195812000-00010. [DOI] [PMC free article] [PubMed] [Google Scholar]
- STERLING J. A., LOWENBURG H. Observations of infants with hepatic duct atresia and use of artificial duct prosthesis. Pediatr Clin North Am. 1962 May;9:485–504. doi: 10.1016/s0031-3955(16)31267-6. [DOI] [PubMed] [Google Scholar]
- STERLING J. A. Total bile duct atresia. Pediatr Clin North Am. 1957 Aug;:769–780. doi: 10.1016/s0031-3955(16)30553-3. [DOI] [PubMed] [Google Scholar]
- Thaler M. M., Gellis S. S. Studies in neonatal hepatitis and biliary atresia. 3. Progression and regression of cirrhosis in biliary atresia. Am J Dis Child. 1968 Sep;116(3):271–279. doi: 10.1001/archpedi.1968.02100020273007. [DOI] [PubMed] [Google Scholar]