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담도폐색증 - 대한소아외과학회회원 대상 전국조사 -

Other Titles
Biliary Atresia in Korea - A Survey by the Korean Association of Pediatric Surgeons -
Authors
최금자  ;  김성철  ;  김신곤  ;  김우기  ;  김인구  ;  김재억  ;  김재천  ;  김해영  ;  김현학  ;  박귀원  ;  박우현  ;  송영택  ;  오수명  ;  이두선  ;  이명덕  ;  이석구  ;  이성철  ;  정상영  ;  정성은  ;  정풍만  ;  최순옥  ;  최승훈  ;  한석주  ;  허영수  ;  홍정  ;  황의호
Citation
Journal of the Korean Association of Pediatric Surgeons (소아외과), Vol.8(2) : 143-155, 2002
Journal Title
Journal of the Korean Association of Pediatric Surgeons (소아외과)
ISSN
1225-9047
Issue Date
2002
Keywords
Biliary atresia ; National survey ; Koreal
Abstract
A survey on biliary atresia was made among 26 members of the Korean Association of Pediatric Surgeons. The members were required to complete a questionnaire and a case registration form for each patient during the twentyone-year period of 1980-2000. Three hundred and eighty patients were registered from 18 institutions. The average number of patients per surgeon was one to two every year. The male to female ratio was 1:1.3. The age of patients on diagnosis with biliary atresia was on average $65.4{\pm} 36.2$ days old. The national distribution was 32.8% in Seoul, 25.3% in Gyoungki-Do, 21.6% in Gyoungsang-Do, 9.27% in Choongchung-Do, etc. in order. The most common clinical presentation was jaundice (98.4%) and change of stool color (86.2%) was second. Two hundred eighty (74.7%) of 375 patients were operated by 80 days of age. Three hundred thirty six (9 1.9%) of 366 patients were operated on by the original Kasai procedure, and 305 (84.3%) of 362 patients were observed by bile-drainage postoperatively. The overall postoperative complication rate was 18.5% and the overall postoperative mortality rate was 6.8%. The associated anomalies were observed in 72 cases (22.5%). One hundred ninty five (64.7%) of 302 patients have been alive in follow-up and 49 (25.1%) have survived over 5 years without problem after operation. Ascending cholangitis, varices and ascites affected survival significantly, and the important long-term prognostic factor was the occurrence of complications.
Files in This Item:
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Choi, Seung Hoon(최승훈)
Han, Seok Joo(한석주)  https://orcid.org/0000-0001-5224-1437
Hwang, Eui Ho(황의호)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/144754
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