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Long-term outcomes after revision of Kasai portoenterostomy for biliary atresia
http://hdl.handle.net/2237/25721
http://hdl.handle.net/2237/2572143754219-5247-4d4c-b34d-94807c2fccca
名前 / ファイル | ライセンス | アクション |
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JHBP-D-16-00171_R2_1.pdf ファイル公開:2017/11/01 (2.5 MB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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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 | |||||
言語 | en | |||||
著者 |
Shirota, Chiyoe
× Shirota, Chiyoe× Uchida, Hiroo× Ono, Yasuyuki× Murase, Naruhiko× Tainaka, Takahisa× Yokota, Kazuki× Oshima, Kazuo× Shirotsuki, Ryo× Hinoki, Akinari× Ando, Hisami |
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アクセス権 | ||||||
アクセス権 | open access | |||||
アクセス権URI | http://purl.org/coar/access_right/c_abf2 | |||||
権利 | ||||||
言語 | en | |||||
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. | |||||
言語 | en | |||||
内容記述タイプ | Abstract | |||||
出版者 | ||||||
言語 | en | |||||
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 | |||||
出版タイプ | ||||||
出版タイプ | AM | |||||
出版タイプResource | http://purl.org/coar/version/c_ab4af688f83e57aa | |||||
DOI | ||||||
関連タイプ | isVersionOf | |||||
識別子タイプ | DOI | |||||
関連識別子 | https://doi.org/10.1002/jhbp.395 | |||||
ISSN | ||||||
収録物識別子タイプ | PISSN | |||||
収録物識別子 | 1868-6974 | |||||
書誌情報 |
en : Journal of Hepato-Biliary-Pancreatic Sciences 巻 23, 号 11, p. 715-720, 発行日 2016-11 |
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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 |