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  1. C100 医学部/医学系研究科
  2. C100a 雑誌掲載論文
  3. 学術雑誌

Long-term outcomes after revision of Kasai portoenterostomy for biliary atresia

http://hdl.handle.net/2237/25721
43754219-5247-4d4c-b34d-94807c2fccca
名前 / ファイル ライセンス アクション
JHBP-D-16-00171_R2_1.pdf JHBP-D-16-00171_R2_1.pdf ファイル公開:2017/11/01 (2.5 MB)
Item type 学術雑誌論文 / Journal Article(1)
公開日 2017-03-17
タイトル
タイトル Long-term outcomes after revision of Kasai portoenterostomy for biliary atresia
著者 Shirota, Chiyoe

× Shirota, Chiyoe

WEKO 69865

Shirota, Chiyoe

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Uchida, Hiroo

× Uchida, Hiroo

WEKO 69866

Uchida, Hiroo

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Ono, Yasuyuki

× Ono, Yasuyuki

WEKO 69867

Ono, Yasuyuki

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Murase, Naruhiko

× Murase, Naruhiko

WEKO 69868

Murase, Naruhiko

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Tainaka, Takahisa

× Tainaka, Takahisa

WEKO 69869

Tainaka, Takahisa

Search repository
Yokota, Kazuki

× Yokota, Kazuki

WEKO 69870

Yokota, Kazuki

Search repository
Oshima, Kazuo

× Oshima, Kazuo

WEKO 69871

Oshima, Kazuo

Search repository
Shirotsuki, Ryo

× Shirotsuki, Ryo

WEKO 69872

Shirotsuki, Ryo

Search repository
Hinoki, Akinari

× Hinoki, Akinari

WEKO 69873

Hinoki, Akinari

Search repository
Ando, Hisami

× Ando, Hisami

WEKO 69874

Ando, Hisami

Search repository
権利
権利情報 "This is the peer reviewed version of the following article: [Shirota, C., Uchida, H., Ono, Y., Murase, N., Tainaka, T., Yokota, K., Oshima, K., Shirotsuki, R., Hinoki, A., and Ando, H. (2016) Long-term outcomes after revision of Kasai portoenterostomy for biliary atresia. J Hepatobiliary Pancreat Sci, 23: 715–720. doi: 10.1002/jhbp.395.], which has been published in final form at [http://doi.org/10.1002/jhbp.395]. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving."
抄録
内容記述 Background: The indications for and efficacy of revision of portoenterostomy (PE) for biliary atresia (BA) needs to be reassessed in an era of liver transplantation. We therefore reviewed the long-term outcomes following revision of PE. Methods: This was a retrospective study of the medical records of patients with BA who underwent PE and revision of PE. We investigated the role of revision on outcomes of jaundice-free native liver survival (approval number: 2015–0094). Results: Portoenterostomy was performed in 76 patients, among whom 22 underwent revision. Revision for recurrent jaundice was performed for four of 51 patients, who were transiently jaundice free after initial PE, but only one achieved native liver survival. Revision for repeated cholangitis in two patients achieved native liver survival over 10 years. Revision was performed in 16 of the 25 patients in whom initial PE failed; of these, four survived with their native liver (ages 3, 12, 12, and 14 years). The PE revision did not significantly affect liver transplantation duration and survival outcome. Conclusions: Revision of PE was suitable for repeated cholangitis. Revision for recurrent jaundice, regardless of whether the initial PE was successful, could have a limited but positive effect in preventing long-term progressive liver failure.
内容記述タイプ Abstract
出版者
出版者 Wiley
言語
言語 eng
資源タイプ
資源タイプresource http://purl.org/coar/resource_type/c_6501
タイプ journal article
ISSN
収録物識別子タイプ ISSN
収録物識別子 1868-6974
書誌情報 Journal of Hepato-Biliary-Pancreatic Sciences

巻 23, 号 11, p. 715-720, 発行日 2016-11
著者版フラグ
値 author
URI
識別子 http://doi.org/10.1002/jhbp.395
識別子タイプ DOI
URI
識別子 http://hdl.handle.net/2237/25721
識別子タイプ HDL
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