title: Icteric flare-up in patients with biliary atresia after hepatic portoenterostomy.
abstract: The relapse of icterus may be a sign of serious postoperative complication after hepatic portoenterostomy for biliary atresia. To analyse the cause of such icteric flare-up, a retrospective study was made on 27 patients. A total of 38 episodes of icteric flare-up occurred in 19 patients. An accompanying disease, which had not directly involved the biliary tract, was assumed to be the cause in 11 episodes (29%). Fourteen episodes (37%) were due to biliary tract infection caused by the cyst formed at the porta hepatis (5 episodes) or so-called ascending cholangitis (9 episodes). The other 13 episodes (34%) were free from both accompanying disease and signs of biliary infection. Among them, the cause of icteric flare-up was the cyst at the porta hepatis in one episode, scar tissue formation at the porta hepatis in 9 episodes and undetermined in 3 episodes.
authors.affiliation: Department of Surgery, Kyoto University Hospital, Japan.
authors.forename: H
authors.initials: H
authors.lastname: Takemoto
authors.forename: Y
authors.initials: Y
authors.lastname: Inomata
authors.forename: Y
authors.initials: Y
authors.lastname: Matsukawa
authors.forename: K
authors.initials: K
authors.lastname: Tanaka
authors.forename: K
authors.initials: K
authors.lastname: Satomura
authors.forename: K
authors.initials: K
authors.lastname: Ozawa
mesh_terms: D001656:Biliary Atresia / Q000601:surgery*; D002761:Cholangitis / Q000209:etiology; D001651:Cholestasis, Extrahepatic / Q000209:etiology; D002921:Cicatrix / Q000209:etiology; D003137:Common Bile Duct Diseases / Q000209:etiology; D004385:Duodenostomy / Q000379:methods*; D004766:Enterostomy / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007567:Jaundice, Neonatal / Q000209:etiology*; D011183:Postoperative Complications / Q000209:etiology*