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Factors that predict mortality rate in biliary artesia
المؤلف
المصدر
Journal of the Faculty of Medicine Baghdad
العدد
المجلد 56، العدد 2 (30 يونيو/حزيران 2014)، ص ص. 136-140، 5ص.
الناشر
تاريخ النشر
2014-06-30
دولة النشر
العراق
عدد الصفحات
5
التخصصات الرئيسية
الموضوعات
الملخص EN
Background : B.
A is a relatively rare obstructive condition of the bile ducts causing neonatal jaundice.
The etiology is unknown but is the result of a progressive obliterative process of variable extent.
If not treated, B.
A is fatal within the first 2 years of life.
Objectives : The aim of this study was to analyze & discuss the impact of many patients’ factors on shortterm outcome of patients with B.
A who underwent Kasai operation in our department.
Methods : A prospective study on 34 patients with B.
A surgically managed at pediatric surgical department / Medical City during the period Nov.
2006 to Sept.
2013.
The patients were followed-up for 2-3 months and the outcome were evaluated by morbidity and mortality rates according to different patients’ parameters (preoperative, intraoperative and postoperative factors).
Results : the mean age of the infants was (61.6 ± 8.1) days with a female to male ratio of 1.27 : 1.
All the patients had type in biliary atresia.
Infants with body weight < 3.5 kg were about 10 folds more likely to die than those with body weight > 3.5 kg.
Infants who passed greenish bowel motion at the 4th-5th postoperative day were about 6 folds more likely to die p.
value = 0.026.
Infants with postoperative anastomotic leak were about 7 folds more likely to die than those with no leak p.
value = 0.013.
Strong highly significant correlation had been found among high death rate and reoperation rate (r = 0.78 and p < 0.001).
of the thirty four infants, 24 (70.6 %) survived, unfortunately, 10 infants (29.4 %) died, the ratio of death to survival was 0.4 : 1.
Conclusions : The survival with native liver following drainage surgery for biliary atresia in our center, compared favorably with other international figures.
Body weight, significant impaired liver function, severe associated anomalies, anastomotic leak and re-intervention, all, greatly contribute to increase mortality rate of those infants.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
al-Kawaz, Shadha A.. 2014. Factors that predict mortality rate in biliary artesia. Journal of the Faculty of Medicine Baghdad،Vol. 56, no. 2, pp.136-140.
https://search.emarefa.net/detail/BIM-419317
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
al-Kawaz, Shadha A.. Factors that predict mortality rate in biliary artesia. Journal of the Faculty of Medicine Baghdad Vol. 56, no. 2 (2014), pp.136-140.
https://search.emarefa.net/detail/BIM-419317
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
al-Kawaz, Shadha A.. Factors that predict mortality rate in biliary artesia. Journal of the Faculty of Medicine Baghdad. 2014. Vol. 56, no. 2, pp.136-140.
https://search.emarefa.net/detail/BIM-419317
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 140
رقم السجل
BIM-419317
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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