Zusammenfassung der Ressource
Flussdiagrammknoten
- any baby with end 1st month of life suffering from cholestatic J. must be evaluate for Biliary atresia to do surgical intervention before 2nd month ///to avoid cirrhosis , ascending cholangitis
- intra-hepatic bile duct disease
- idiopathic neonatal hepatitis
- intrhepatic bile duct paucity or hypoplasia
- Extra-hepatic biliary atresia & disease
- kasai procedure is the choice
- 1-persistent acholic stool.
2-persistent bile stained fluid after duodenal intubation against Dx.
- 1-normal color stool with transient acholic stool
2-Duodenal intubation :-fluid is bile stained
- 3-liver scan =sluggish uptake & fair excretion
4-liver biopsy =the most reliable discriminatory test larged
- 3-liver scan=good uptake BUT no excretion.
4-liver biopsy & Exploratory laparotomy