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Chapter 27 - Hepatic Portoenterostomy; Kasai Procedure

Published online by Cambridge University Press:  30 November 2019

By
Rahul G. Baijal  and
Nihar V. Patel
Edited by
Adam C. Adler ,
Arvind Chandrakantan  and
Ronald S. Litman
Adam C. Adler
Affiliation:
Texas Children's Hospital
Arvind Chandrakantan
Affiliation:
Texas Children's Hospital
Ronald S. Litman
Affiliation:
The Children's Hospital of Philadelphia
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Summary

This chapter provides anoverview of the surgical treatment for biliary atresia, the Hepatic Portoenterostomy or Kasai Procedure. The pathophysiology of biliary atresia is reviewed as it related to the organ systems effected. The signs and symptoms of neonatal liver failure are discussed including the development of hepatorenal and hepatopulmonary syndromes. The chapter provides anoverview of the surgical aspects and anesthetic concerns related to the Kasai procedure. The chapter provides a segue into the chapter on liver transplantation.

Keywords

Hepatic Portoenterostomy; Kasai Procedurebiliary atresiajaundicehepatic fibrosiscirrhosischolangitishematemesisHepatopulmonary syndromeHepatorenal syndrome
Type
Chapter
Information
Case Studies in Pediatric Anesthesia , pp. 118 - 121
Publisher: Cambridge University Press
Print publication year: 2019

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References

Suggested Reading

Bromley, P, Bennett, J. Anesthesia for children with liver disease. Cont Educ Anaesth. 2014:14(5):207–12.Google Scholar
Green, DW, Howard, ER, Davenport, M. Anaesthesia, perioperative management and outcome of correction of extrahepatic biliary atresia in the infant: a review of 50 cases in the King’s College Hospital series. Paediatr Anaesth. 2000;10(6):581–9. PMID: 11119190.CrossRefGoogle ScholarPubMed

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