[Omento-porto-duodeno-pexy in the treatment of bile-duct atresia and hypoplasia in infants].
From 1975 to 1982, central lymph drainage was performed in our hospital, on 12 infants with atresia of the intrahepatic bile ducts. The greater omentum was used for the drainage. It was mobilized and attached to the incised hilar lymph nodes and lymphatic vessels of the hepatic-duodenal ligament and to the decapsulated duodenum. In two children, this method was combined with Kasai's operation. These two children developed cirrhosis of the liver. Only one of the other 10 children, who underwent our own procedure, has developed cirrhosis so far. The remaining 9 children show no signs of liver damage.
D000367:Age Factors; D001653:Bile Ducts, Intrahepatic / Q000002:abnormalities* / Q000601:surgery; D002760:Cholangiopancreatography, Endoscopic Retrograde; D004322:Drainage; D004386:Duodenum / Q000601:surgery*; D005260:Female; D006801:Humans; D007223:Infant; D008196:Lymph; D008297:Male; D008722:Methods; D009852:Omentum / Q000601:surgery*; D011168:Portal System / Q000601:surgery*
Die Omento-Porto-Duodeno-Pexie zur Behandlung der Gallengangsatresis und -hypoplasie im Säuglingsalter.