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SM ISO690:2012 GÎNCU, Gheorghe, GUDUMAC, Eva, BRANIŞTE, Nina, REVENCO, Ina, HAIDARLÎ, Doina, SAMCIUC, Oleg. Diagnosticul şi tactica medico-chirurgicală modernă în tratamentul atreziei căilor biliare la copii. In: Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”, 21-23 octombrie 2020, Chişinău. Chişinău: USMF, 2020, p. 621. |
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Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu” 2020 | ||||||
Congresul "Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”" Chişinău, Moldova, 21-23 octombrie 2020 | ||||||
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Pag. 621-621 | ||||||
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Background. Biliary atresia (BA) is a serious pediatric condition that tends to progress to cirrhosis, liver failure, and death within a short time. It is the result of a continuous inflammatory, sclerosing, destructive process in the biliary tract, it is the most common indication for liver transplantation. Objective of the study. Assessment of diagnostic methods and medical-surgical tactics depending on the form and degree of hepatocellular destruction in children. Material and Methods. The study included 46 patients up to 1 year of age hospitalized with cholestasis syndrome in IMSP IM and C, during the years 2015-2020. The basic methods in the diagnosis of BA were: biochemical examination, FGDS, USG doppler dupplex color of the biliary system before and after food, MRI with cholangiography, dynamic hepatobiliary scintigraphy. Results. Following the analysis of clinical and paraclinical results, at 25 patients surgical pathology was excluded, the diagnosis of BA was established in 11 cases. At 6 patients with BA, Kasai surgical intervention was performed, a primary liver transplant was performed in 3 cases, and 2 patients died before surgery. Conclusion. Portoenteroanastamosis (Kasai operation) performed as early as possible (up to 60 days postnatal) considerably increases life expectancy. In decopensated, late-diagnosed cases, liver transplantation remains the only treatment option. |
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Cuvinte-cheie biliary atresia, Kasai, transplant, atrezia căilor biliare, Kasai, transplant |
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