The sensitvity, specificity, positive and negative predictive values of stool color test, triangular cord sign and hepatobiliary scintigraphy in diagnosis of infantile biliary atresia
المؤلفون المشاركون
Sobhiyeh, M. R.
Fathi, Hibah Allah Muhammad
Rouzrokh, M.
المصدر
Iranian Red Crescent Medical Journal
العدد
المجلد 11، العدد 4 (31 أكتوبر/تشرين الأول 2009)، ص ص. 425-430، 6ص.
الناشر
تاريخ النشر
2009-10-31
دولة النشر
الإمارات العربية المتحدة
عدد الصفحات
6
التخصصات الرئيسية
الموضوعات
الملخص EN
Background : it is very important to detect biliary atresia in a timely manner to prevent progressive damage to the liver.
Our attempt was to formulate our diagnostic approach to infantile cholestasis in Mofid Children's Hospital in Iran.
Methods : Forty two records of infants with prolonged conjugated cholestatic jaundice from 2003 to 2008 were reviewed with regard to the infants’ gestational age, birth-weight, stool color, liver function test results (total bilirubin, direct bilirubin, ALT, AST, alkaline phosphatase, albumin, globulin, and cholesterol), ultrasonography, hepatobiliary scintigraphy findings, liver biopsy results and ultimately intra-operative cholangiographies (IOC).
Results : Total bilirubin, direct bilirubin, AST, AST to ALT ratio, cholesterol, and globulin were significantly higher in infants with biliary atresia (BA) as compared to those in the other group.
We found that gestational age and birth weight were significantly lower in infants without BA.
Stool color sensitivity, specificity, positive predictive value, and negative predictive value in diagnosis of BA were 100%, 83%, 81%, and 100%, respectively.
These figures for triangular cord (TC) sign were 72%, 91%, 86%, 81%, respectively and for hepatobiliary scintigraphy were 100 %, 85 %, 100 %, and 85 %, respectively.
Conclusion : In biliary atresia, history, physical exam, and liver function tests can be the first steps in diagnostic algorithms followed by colored stool.
However, if TC is not visualized, hepatobiliary scintigraphy is suggested.
If excretion of tracer does not occur, liver biopsy is indicated.
The definite diagnosis would be possible by an intraoperative cholangiography.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Rouzrokh, M.& Sobhiyeh, M. R.& Fathi, Hibah Allah Muhammad. 2009. The sensitvity, specificity, positive and negative predictive values of stool color test, triangular cord sign and hepatobiliary scintigraphy in diagnosis of infantile biliary atresia. Iranian Red Crescent Medical Journal،Vol. 11, no. 4, pp.425-430.
https://search.emarefa.net/detail/BIM-27242
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Rouzrokh, M.…[et al.]. The sensitvity, specificity, positive and negative predictive values of stool color test, triangular cord sign and hepatobiliary scintigraphy in diagnosis of infantile biliary atresia. Iranian Red Crescent Medical Journal Vol. 11, no. 4 (Oct. 2009), pp.425-430.
https://search.emarefa.net/detail/BIM-27242
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Rouzrokh, M.& Sobhiyeh, M. R.& Fathi, Hibah Allah Muhammad. The sensitvity, specificity, positive and negative predictive values of stool color test, triangular cord sign and hepatobiliary scintigraphy in diagnosis of infantile biliary atresia. Iranian Red Crescent Medical Journal. 2009. Vol. 11, no. 4, pp.425-430.
https://search.emarefa.net/detail/BIM-27242
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 429-430
رقم السجل
BIM-27242
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر